Individual provider Active NPI

Kami Meshae Dever, P.A.

  • Physician Assistant
  • Denison, TX
National Provider Identifier
1801823562
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04771 Issued in TX
Practice address
5012 S US Highway 75 Ste 100
Denison, TX 75020-4597
Phone
(903) 416-6325
Fax
(903) 416-6326
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 PA04771 TX Primary

Addresses

Primary practice location

5012 S US Highway 75 Ste 100
Denison, TX 75020-4597

Mailing address

5012 S US Hwy 75, Suite 300
Attn Billing
Denison, TX 75020-4589
Phone (903) 416-6325

Other practice location 1

310 N Bryant Ave
Sherman, TX 75092-7336
Phone (903) 891-2412 ext. 131

Other practice location 2

310 N Bryant Ave
Sherman, TX 75092-7336
Phone (903) 891-2412 ext. 131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdever523094@direct.sw.org

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
I20060822000521 TX Practitioner - Physician Assistant 8729081252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 16, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 16, 2019 Accepting new patients
Texomacare Physician Assistant Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

5236 W University Dr
Ste 4450
McKinney, TX 75071
Phone (469) 800-5090

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 6

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 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1801823562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HWY 75, SUITE 300",
            "address_2": "ATTN BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 100",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204597",
            "telephone_number": "903-416-6325",
            "fax_number": "903-416-6326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 N Bryant Ave",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927336",
            "country_code": "US",
            "telephone_number": "903-891-2412 x131",
            "fax_number": "903-891-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 N Bryant Ave",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750927336",
            "country_code": "US",
            "telephone_number": "903-891-2412 x131",
            "fax_number": "903-891-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVER",
        "first_name": "KAMI",
        "middle_name": "MESHAE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdever523094@direct.sw.org",
            "affiliation": "N",
            "address_1": "5236 W University Dr Ste 4450",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750718221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.