Active NPI
Jason D. McCandless, P.A.
- Medical Physician Assistant
- New Boston, TX
National Provider Identifier
1487952834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA07396
- Practice address
- 910 James Bowie Dr
New Boston, TX 75570-2335 - Phone
- (903) 614-5950
- Fax
- (903) 614-5955
- NPI assigned
- Mar 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-430 | AR | |
| Medical Physician Assistant | 363AM0700X | PA07396 | TX | Primary |
Addresses
Primary practice location
910 James Bowie Dr
New Boston, TX 75570-2335
Mailing address
919 Hidden RDG
6TH Floor
Irving, TX 75038-3813
Phone (469) 282-2625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284586901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000
Hospital & facility affiliations
- Christus St Michael Health System
- Magnolia Regional Medical Center
- Southwest Regional Medical Center LLC
- Christus Mother Frances Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.74 of 100
- Quality
- 77.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-430 | AR | MD | Medical Physician Assistant |
| PA07396 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palacios Community Medical Center | Current | Accepting new patients | |
| Exceed Health Clinic | Past | Accepting new patients | |
| C H Wilkinson Physician Network | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6966/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Emergency Medicine Physician
- Texarkana, TX
- NPI 1871813345
-
- Specialist
- Texarkana, TX
- NPI 1477519056
-
- Critical Access Hospital
- Palacios, TX
- NPI 1780786699
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1780277731
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
-
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1487952834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 HIDDEN RDG",
"address_2": "6TH FLOOR",
"city": "IRVING",
"state": "TX",
"postal_code": "750383813",
"telephone_number": "469-282-2625",
"fax_number": "469-282-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 JAMES BOWIE DR",
"city": "NEW BOSTON",
"state": "TX",
"postal_code": "755702335",
"telephone_number": "903-614-5950",
"fax_number": "903-614-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANDLESS",
"first_name": "JASON",
"middle_name": "D.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AR",
"license": "PA-430",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA07396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284586901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Boston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.