MR. JAMIE SHANE MASSENGILL PA-C NPI 1952404238

NPI Information

  • NPI: 1952404238
  • Provider Name: MR. JAMIE SHANE MASSENGILL, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7555 WINTERWOOD DR
    EDMOND, OK
    ZIP 73025
  • Phone: (405) 990-5967

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NPI Details

MR. Jamie Shane Massengill, PA-C is a medical physician assistant in Edmond, OK. MR. Jamie Shane Massengill, PA-C NPI is 1952404238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7555 WINTERWOOD DR
EDMOND, OK
ZIP 73025-861
Phone: (405) 990-5967

The NPI 1952404238 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • New patient home visit, typically 1 hour (HCPCS:99344)

The enumeration date for this NPI number is 9/5/2006 and was last updated on 2/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1320OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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