Active NPI
Jennifer Shivers, PA-C
- Medical Physician Assistant
- Plano, TX
National Provider Identifier
1699826503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA01964
- Practice address
- 6020 W Parker Rd
Suite 200
Plano, TX 75093-8171 - Phone
- (972) 608-5000
- Fax
- (972) 608-5020
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA01964 | TX | Primary |
Addresses
Primary practice location
6020 W Parker Rd
Suite 200
Plano, TX 75093-8171
Mailing address
PO Box 262409
Plano, TX 75026-2409
Phone (972) 608-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA01964 | Other | TX | STATE LICENSE |
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4510 Medical Ctr Dr
Suite 301
McKinney, TX 75069-1603
Phone (972) 498-4389
Hospital & facility affiliations
- Medical City Plano
- Grace Surgical Hospital
- Hardeman County Memorial Hospital
- Covenant Medical Center
- Childress Regional Medical Center
- Baylor Scott & White Institute for Rehabilitation
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- McKinney, TX
- NPI 1609285170
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Childress, TX
- NPI 1326079534
-
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- Critical Access Hospital
- Quanah, TX
- NPI 1861510521
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1699826503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 262409",
"city": "PLANO",
"state": "TX",
"postal_code": "750262409",
"telephone_number": "972-608-5000",
"fax_number": "972-608-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W PARKER RD",
"address_2": "SUITE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750938171",
"telephone_number": "972-608-5000",
"fax_number": "972-608-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIVERS",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA01964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA01964",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.