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SUZANNE SELF PA-C
NPI 1063489078
Physician Assistant - Medical in Lubbock, TX

Active since March 08, 2006PECOS Enrolled
10507 QUAKER AVE, SUITE A, LUBBOCK, TX 79424(806) 701-5425 Get Directions Write a Review

NPPES record last updated: September 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2016, Aug 24, 2016 (2 updates tracked since 2016).

About Suzanne Self Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUZANNE SELF PA-C (NPI 1063489078) is an individual medical provider in Lubbock, Texas, licensed in Texas (PA02423) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063489078
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUZANNE SELFCredential: PA-C
Location Address10507 QUAKER AVE, SUITE ALubbock, TX 79424-8442
Mailing Address4802 N Loop 289, Premiere ClinicLubbock, TX 79416-3025 · (806) 788-0040 · Fax (806) 788-0015
Phone(806) 701-5425
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateSeptember 17, 20162 updates tracked since enumeration
✔ NPI 1063489078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA02423
10507 QUAKER AVE, Lubbock, TX 79424
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINS74016OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Self Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
706 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
81 services21 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEUNGHEE OH FULLER MD
Family Medicine
10507 QUAKER AVE, UNIT A
LUBBOCK, TX 79424
Lubbock County (806) 701-5425
ONEVOICEHOME
Counselor (Professional)
10507 QUAKER AVE
LUBBOCK, TX 79424
Lubbock County (806) 429-2192
MARY IRVING MD
Family Medicine
10507 QUAKER AVE
LUBBOCK, TX 79424
Lubbock County (806) 725-9515
DR. SANDY DELORES REEVES FNP-C, PMHNP-BC
Nurse Practitioner (Family)
10507 QUAKER AVE
LUBBOCK, TX 79424
Lubbock County (806) 725-9515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suzanne Self's NPI number?

The NPI number for Suzanne Self is 1063489078. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Suzanne Self located?

Suzanne Self practices at 10507 Quaker Ave Suite A, Lubbock, TX 79424. The listed phone number is (806) 701-5425.

What is Suzanne Self's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Suzanne Self enrolled in Medicare?

Yes. Suzanne Self is registered in the Medicare PECOS enrollment system.

What insurance does Suzanne Self accept?

Health plans from Blue Cross and Blue Shield of Texas list Suzanne Self as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Suzanne Self was last updated on September 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.