Individual provider Active NPI

Sierra Dawn Shinn, MPAS, PA-C

  • Physician Assistant
  • Kingwood, TX
National Provider Identifier
1821811605
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18523 Issued in TX
Practice address
451 Kingwood Medical Dr Ste 200
Kingwood, TX 77339-6408
Phone
(281) 359-2080
Fax
(281) 359-2421
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA18523 TX Primary

Addresses

Primary practice location

451 Kingwood Medical Dr Ste 200
Kingwood, TX 77339-6408

Mailing address

451 Kingwood Medical Dr Ste 200
Kingwood, TX 77339-6408
Phone (281) 359-2080

Other practice location 1

5132 Atascocita Rd Ste A
Atascocita, TX 77346-2845
Phone (281) 359-2080

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
I20250319001479 TX Practitioner - Physician Assistant 5092237057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

451 Kingwood Medical Dr
Suite 200
Kingwood, TX 77339-6408
Phone (281) 359-2080

5132 Atascocita Rd a
BMT Physicians Privia Medical Grou
Atascocita, TX 77346-2845
Phone (281) 359-2080

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Jan 13, 2025 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

5132 Atascocita Rd
Ste A
Atascocita, TX 77346
Phone (281) 359-2080

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

451 Kingwood Medical Dr
Ste 200
Kingwood, TX 77339
Phone (281) 359-2080

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: sierra.shinn.1@8042.direct.athenahealth.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.

Hospital & facility affiliations 2

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1821811605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 KINGWOOD MEDICAL DR STE 200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396408",
            "telephone_number": "281-359-2080",
            "fax_number": "281-359-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 KINGWOOD MEDICAL DR STE 200",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396408",
            "telephone_number": "281-359-2080",
            "fax_number": "281-359-2421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5132 Atascocita Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Atascocita",
            "state": "TX",
            "postal_code": "773462845",
            "country_code": "US",
            "telephone_number": "281-359-2080",
            "fax_number": "281-359-2421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINN",
        "first_name": "SIERRA",
        "middle_name": "DAWN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.