MS. COLLEEN DEGROOT (PA-S) – Physician Assistant, NPI 1639794860

MS. COLLEEN DEGROOT (PA-S) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-S. They hold a License No. 11248938-1206 (UT). The NPI Number for MS. COLLEEN DEGROOT (PA-S) is 1639794860

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. COLLEEN DEGROOT (PA-S)
NPI
1639794860
Phone
(806) 712-1096
Address
5224 75TH ST STE D
Enumeration Date
12 June 2020
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347126333
Graduation Year
2021 (5 years ago)
PAC ID
2567852676
Group Practice PAC ID
6406014919
Professional Enrollment ID
I20241115001699
Address ID
AL363013040DO1736XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for MS. COLLEEN DEGROOT (PA-S)

  • 5224 75TH ST STE D

    LUBBOCK, TX 794242525

    Phone: (806) 712-1096

    Fax: (806) 771-2093

    Type: Mailing

  • 1108 ROSS CLARK CIR FL 4

    DOTHAN, AL 363013022

    Phone: (334) 699-4300

    Type: Location

  • 1465 26TH ST

    OGDEN, UT 844012933

    Phone: (385) 216-6039

    Type: Mailing

  • 872 W Highway 40

    Vernal, UT 840782416

    Phone: (435) 789-6677

    Fax: (435) 789-6677

    Type: Location

  • 872 W HIGHWAY 40

    VERNAL, UT 840782416

    Phone: (435) 789-6677

    Fax: (435) 789-6678

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($147).

Total Amount

$147

General + Research + Ownership

Payments

5

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2024-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20211203002215IPhysician AssistantUTTBD
I20241115001699IPhysician AssistantALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes134114$0
J0696Injection, ceftriaxone sodium, per 250 mg4812$0
81002Urinalysis, manual test4137$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza4139$0
99214Established patient office or other outpatient visit, 30-39 minutes3936$0
View full utilization report →

Insurance plans in this area (ZIP 79424)

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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: 6406014919View full group profile
NameSpecialtyState
General SurgeryTX
Nurse PractitionerTX
-KY
Nurse PractitionerTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Vascular Surgery, General SurgeryTX
Preventive MedicineMT
-MD
Nurse PractitionerTX
P O D I A T R YVA

Reviews

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Frequently asked questions

Is MS. COLLEEN DEGROOT (PA-S) listed with a National Provider Identifier?
Yes — MS. COLLEEN DEGROOT (PA-S) has NPI 1639794860 on file in the registry.
Is MS. COLLEEN DEGROOT (PA-S) still an active registrant?
MS. COLLEEN DEGROOT (PA-S) carries an active NPI according to the public dataset.
What kind of doctor is MS. COLLEEN DEGROOT (PA-S)?
MS. COLLEEN DEGROOT (PA-S) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MS. COLLEEN DEGROOT (PA-S)?
Directory geography for MS. COLLEEN DEGROOT (PA-S) centers on Lubbock, Texas.
Does MS. COLLEEN DEGROOT (PA-S) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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