PARKER HADEN SHORT (PA-C) – Physician Assistant, NPI 1134997091

PARKER HADEN SHORT (PA-C) is a healthcare provider. based in Wichita falls, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA17623 (TX). The NPI Number for PARKER HADEN SHORT (PA-C) is 1134997091

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
PARKER HADEN SHORT (PA-C)
NPI
1134997091
Phone
(940) 764-5200
Address
4327 BARNETT RD
Enumeration Date
19 December 2023
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9407645200
Graduation Year
2023 (3 years ago)
PAC ID
7214373695
Group Practice PAC ID
2163417478
Professional Enrollment ID
I20240307001977
Address ID
TX763102303WI4327XRDXX300

Contacts

Secure Messaging
pshort47924@unitedregional.medalliesdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for PARKER HADEN SHORT (PA-C)

  • 4327 BARNETT RD

    WICHITA FALLS, TX 763102303

    Phone: (940) 764-5200

    Fax: (940) 764-5201

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $201.

Total Amount is formed as General ($201) + Research ($0) + Ownership ($0) = $201.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($201).

Total Amount

$201

General + Research + Ownership

Payments

2

Total payment records

General Amount

$201

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240307001977IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76310)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163417478View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
Sports Medicine, Family PracticeTX
Cardiovascular Disease (Cardiology)TX
Internal MedicineTX
U R O L O G YTX
Endocrinology, Internal MedicineTX
Nurse PractitionerTX
Orthopedic SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is PARKER HADEN SHORT (PA-C)'s NPI number?
PARKER HADEN SHORT (PA-C)'s NPI is 1134997091 — the number used across U.S. healthcare to identify this provider.
Is PARKER HADEN SHORT (PA-C) still an active registrant?
PARKER HADEN SHORT (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is PARKER HADEN SHORT (PA-C)?
PARKER HADEN SHORT (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for PARKER HADEN SHORT (PA-C)?
Travel planning: use Wichita Falls, Texas as the reference point for PARKER HADEN SHORT (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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