Individual provider Active NPI

John Owen McClusky

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1588062939
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09417 Issued in TX
Practice address
10965 Ben Crenshaw Dr BLDG 1
El Paso, TX 79935-3021
Phone
(915) 594-4000
NPI assigned
Dec 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09417 TX Primary

Addresses

Primary practice location

10965 Ben Crenshaw Dr BLDG 1
El Paso, TX 79935-3021

Mailing address

10965 Ben Crenshaw Dr BLDG 1
El Paso, TX 79935-3021
Phone (915) 594-4000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310003966 TX Practitioner - Physician Assistant 5496238206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fmuc PLLCGroup PAC ID 6103191978, 3 clinicians

Practice addresses (Care Compare)

6000 Northern Pass Dr
BLDG a
El Paso, TX 79911-7206
Phone (915) 264-1830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA09417TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fmuc, PLLC CurrentSince Jan 14, 2026 Accepting new patients
Francisco J Guerra M D P a Past Accepting new patients

Locations

6000 Northern Pass Dr
Ste A
El Paso, TX 79911
Phone (915) 264-1830

10965 Ben Crenshaw Dr
El Paso, TX 79935
Phone (915) 317-5212

10965 Ben Crenshaw Dr
Bldg 1
El Paso, TX 79935
Phone (915) 206-2120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1588062939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10965 BEN CRENSHAW DR BLDG 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353021",
            "telephone_number": "915-594-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 BEN CRENSHAW DR BLDG 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353021",
            "telephone_number": "915-594-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKY",
        "first_name": "JOHN",
        "middle_name": "OWEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.