Active NPI
Jessica Leigh Shellock, M.D.
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
National Provider Identifier
1700975398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- M9650
- Practice address
- 6020 W Parker Rd Ste 200
Plano, TX 75093-8172 - Phone
- (972) 608-5000
- Fax
- (972) 473-3929
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | M9650 | TX | Primary |
Addresses
Primary practice location
6020 W Parker Rd Ste 200
Plano, TX 75093-8172
Mailing address
6020 W Parker Rd Ste 200
Plano, TX 75093-8172
Phone (972) 473-3947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M9650 | Other | TX | TEXAS MEDICAL 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6020 W Parker Rd
Suite 200
Plano, TX 75093-8172
Phone (972) 608-5000
Hospital & facility affiliations
- Texas Health Center for Diagnostics & Surgery Plan
- Legent Orthopedic Hospital
- Baylor Scott & White Institute for Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 26 |
| Laminectomy or laminotomy (partial removal of spine bones) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9650 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Point Surgical Suites LLC | Past | Accepting new patients |
Interoperability endpoints
- 4410-shellock-jessica@direct.leadingreach.com
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.
-
- Neurological Surgery Physician
- McKinney, TX
- NPI 1609285170
-
- Ambulatory Surgical Clinic/Center
- Plano, TX
- NPI 1043708019
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carrollton, TX
- NPI 1316505043
-
- Long Term Care Hospital
- Grapevine, TX
- NPI 1659536944
-
- Rehabilitation Hospital Unit
- Carrollton, TX
- NPI 1356133615
-
- General Acute Care Hospital
- Plano, TX
- NPI 1316933609
-
- General Acute Care Hospital
- Plano, TX
- NPI 1982809257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1700975398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6020 W PARKER RD STE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750938172",
"telephone_number": "972-473-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 W PARKER RD STE 200",
"city": "PLANO",
"state": "TX",
"postal_code": "750938172",
"telephone_number": "972-608-5000",
"fax_number": "972-473-3929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLOCK",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "M9650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL LICENSE",
"identifier": "M9650",
"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 Jun 29, 2020; 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.