Individual provider Active NPI

Shawn Thomas Jenkins, DO

  • Emergency Medicine Physician
  • Boerne, TX
National Provider Identifier
1508815176
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M3593 Issued in TX
Practice address
1421 S. Main St.
Suite 107
Boerne, TX 78006
Phone
(830) 249-9995
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M3593 TX Primary

Addresses

Primary practice location

1421 S. Main St.
Suite 107
Boerne, TX 78006

Mailing address

1421 S Main St
Suite 107
Boerne, TX 78006-3321
Phone (830) 249-9995

Other identifiers 1

IdentifierTypeStateIssuer
181004601MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000420 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0749283190 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians

Practice addresses (Care Compare)

1601 W 11TH PL
Big Spring, TX 79720-4114
Phone (432) 263-1211

300 Wilson St
Henderson, TX 75652-5956
Phone (903) 657-7541

Hospital & facility affiliations

  • Ut Health East Texas Henderson Hospital Hospital, Henderson, TX, CCN 450475
  • Scenic Mountain Medical Center Hospital, Big Spring, TX, CCN 450653
  • Christus Spohn Hospital Alice Hospital, Alice, TX, CCN 450828
  • Ut Health East Texas Quitman Hospital Hospital, Quitman, TX, CCN 451380

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.62 of 100Reported as group
Quality
92.03
Improvement activities
40
Cost
85.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Nov 14, 2023 Accepting new patients
Victoria Emergency Partners LLC Emergency Medicine CurrentSince Dec 10, 2019 Accepting new patients
Angelina Emergency Medicine Associates PA Emergency Medicine CurrentSince May 29, 2015 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 19, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Sep 25, 2025 Accepting new patients
Little Spurs Pediatric Urgent Care, PLLC Past Accepting new patients

Locations

2500 E Main St
Alice, TX 78332
Phone (361) 664-4376

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

13725 Northwest Blvd
Corpus Christi, TX 78410
Phone (361) 241-4243

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1508815176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S MAIN ST",
            "address_2": "SUITE 107",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063321",
            "telephone_number": "830-249-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S. MAIN ST.",
            "address_2": "SUITE 107",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "830-249-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "SHAWN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M3593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181004601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.