Shirley Fung Wu, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

25230 Kingsland Blvd Ste 101
Katy, TX 77494-2097

Phone

(281) 746-9284

NPI assigned

Sep 8, 2023

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

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

Specialty

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kelsey-Seybold Medical Group, PLLCGroup PAC ID 9739093527, 941 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfungwu112279@direct.kelsey-seybold.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FJCADD

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.

• Kelsey-Seybold Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1013915255
  Medicare reassignment Care Compare group
• Houston Gastro Institute PLLC

  • Gastroenterology Physician
  • Katy, TX
  • NPI 1811238454
  NPD

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1972380434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-746-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-746-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG WU",
        "first_name": "SHIRLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel T Fuller, COTA
• Fulshear Family Eyecare, PLLC
• Fulshear Modern Dentistry,PC
• Functionation MD, PLLC
• Fundamentals of Communication, LLC
• Fusion Care PLLC
• Fusion Massage & Bodywork
• Mackenzie Lynn Futrell, D.C.
• Future Solutions Consulting Group
• Futureyes, Inc

• Physician Assistant in Katy, TX
• Providers in Katy, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.