Raven Shelby Ayers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-759 Issued in AR

Practice address

125 Arkansas Blvd
Texarkana, AR 71854-1963

Phone

(870) 772-9355

Fax

(870) 772-9360

NPI assigned

Jan 12, 2018

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raven Shelby Falls Former name

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, shared by 29 NPIs, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Regional Medical Center LLC Hospital, Hope, AR, CCN 041335

Merit-based Incentive Payment System (MIPS)

Final score

84.12 of 100Reported as group

Quality

71.48

Promoting interoperability

100

Improvement activities

40

Cost

75.58

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15024/brand/1/csg/1/fhir/r4
• Direct secure messaging: raven.ayers.1@15024.direct.athenahealth.com
• Direct secure messaging: raven.ayers.1@2424.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthcare Express, LLP

  dba HealthCare Express

  • Multi-Specialty Clinic/Center
  • Texarkana, AR
  • NPI 1780029892
  Medicare reassignment Care Compare group
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment NPD (past)
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment
• H H Y, LLC

  dba Red River Urgent Care

  • Urgent Care Clinic/Center
  • Clarksville, TX
  • NPI 1225415565
  Medicare reassignment
• Healthcare Express, LLP

  dba HealthCARE Express

  • Multi-Specialty Clinic/Center
  • Texarkana, TX
  • NPI 1427120310
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Lamar, AR
  • NPI 1073004891
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Bradley Bibb MD PLLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Bono, AR
  • NPI 1639562432
  NPD
• Healthcare Express, LLP

  • Family Medicine Physician
  • North Little Rock, AR
  • NPI 1932516887
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• H H Y, LLC

  dba Red River Urgent Care

  • Rural Health Clinic/Center
  • Clarksville, TX
  • NPI 1801367149
  NPD
• Healthcare Express, LLP

  dba HealthCare Express

  • Urgent Care Clinic/Center
  • Mount Pleasant, TX
  • NPI 1558865998
  NPD

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

• Southwest Arkansas Regional Medical Center, LLC

  dba Southwest Arkansas Regional Medical Center

  • Critical Access Hospital
  • Hope, AR
  • NPI 1164234308
  Care Compare affiliation

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1629586573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-793-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541963",
            "telephone_number": "870-772-9355",
            "fax_number": "870-772-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755030711",
            "country_code": "US",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3809 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718545818",
            "country_code": "US",
            "telephone_number": "870-621-0080",
            "fax_number": "870-621-0081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Hope",
            "state": "AR",
            "postal_code": "718017104",
            "country_code": "US",
            "telephone_number": "870-777-0007",
            "fax_number": "870-376-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "RAVEN",
        "middle_name": "SHELBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVEN",
            "last_name": "FALLS",
            "middle_name": "SHELBY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.

Verify at the official NPI Registry.