JINA SIMON STEPHEN (PA-C) – Physician Assistant, NPI 1851721005

JINA SIMON STEPHEN (PA-C) is a healthcare provider. based in Missouri city, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA08743 (TX). The NPI Number for JINA SIMON STEPHEN (PA-C) is 1851721005

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JINA SIMON STEPHEN (PA-C)
NPI
1851721005
Phone
(713) 498-2544
Address
1415 CRESCENT OAK DR
Enumeration Date
24 November 2013
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7135925433
Graduation Year
2013 (13 years ago)
PAC ID
1456619972
Group Practice PAC ID
7911801410
Professional Enrollment ID
I20210507000779
Address ID
TX770304009HO2130XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JINA SIMON STEPHEN (PA-C)

  • 1415 CRESCENT OAK DR

    MISSOURI CITY, TX 774594564

    Phone: (713) 498-2544

    Type: Mailing

  • 1415 Crescent Oak Dr

    Missouri City, TX 774594564

    Phone: (713) 498-2544

    Type: Location

  • PO BOX 4439

    HOUSTON, TX 772104439

    Phone: (713) 792-2991

    Type: Mailing

  • 1515 HOLCOMBE BLVD

    HOUSTON, TX 770304000

    Phone: (713) 792-6161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-05-07

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
I20171211000875IPhysician AssistantNJTBD
I20210507000779IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11432$0
99215Established patient office or other outpatient visit, 40-54 minutes6133$0
99213Established patient office or other outpatient visit, 20-29 minutes1912$0
View full utilization report →

Insurance plans in this area (ZIP 77459)

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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: 7911801410View full group profile
NameSpecialtyState
-TX
N E U R O L O G YTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
-TX
-TX
Nephrology, Internal MedicineTX
Anesthesiology, Emergency MedicineTX

Reviews

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Frequently asked questions

Does JINA SIMON STEPHEN (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JINA SIMON STEPHEN (PA-C) uses 1851721005.
Does the file indicate JINA SIMON STEPHEN (PA-C) is practicing under active NPI?
Directory data currently reports JINA SIMON STEPHEN (PA-C) as active.
What is JINA SIMON STEPHEN (PA-C) best known for clinically?
Directory data describes JINA SIMON STEPHEN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JINA SIMON STEPHEN (PA-C) list a practice location?
Patients near Missouri City, Texas may find JINA SIMON STEPHEN (PA-C) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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