MS. SHANEQUA HAMBRICK (PA) – Medical Physician Assistant, NPI 1760475180
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for MS. SHANEQUA HAMBRICK (PA)
1814 Roseland Blvd
Tyler, TX 757014234
Phone: (903) 531-2500
Fax: (903) 595-3785
Type: Location
2737, South Broadway Avenue, Tyler, Smith County, Texas, 75701, United States
TYLER, TX 75701
Phone: (903) 592-6000
Fax: (903) 592-3224
Type: Location
PO BOX 6605
TYLER, TX 757116605
Phone: (903) 592-6000
Fax: (903) 592-3224
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,172.
Total Amount is formed as General ($1,172) + Research ($0) + Ownership ($0) = $1,172.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($752).
Total Amount
$1,172
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $752 |
| Nevro Corp. | $179 |
| Saluda Medical Americas, Inc. | $148 |
| TerSera Therapeutics LLC | $43 |
| ABBVIE INC. | $19 |
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: 2003-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031219000396 | I | Physician Assistant | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 582 | 222 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 109 | 36 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 100 | 14 | $0 |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 86 | 30 | $0 |
| 95970 | Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator | 57 | 24 | $0 |
Insurance plans in this area (ZIP 75701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TX | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Anesthesiology, Interventional Pain Management | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Interventional Pain Management | TX | |
| - | TX | |
| Nurse Practitioner | FL | |
| Physical Medicine And Rehabilitation | TX | |
| Physician Assistant | TX | |
| Pain Management, Sports Medicine | TX |
Reviews
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