Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMIE SHRADER
NPI 1073442893
Dentist - General Practice in San Antonio, TX

Active since May 18, 2026PECOS Enrolled
11930 W US HIGHWAY 90 STE 106, SAN ANTONIO, TX 78245(210) 209-8418 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 24, 2026, May 18, 2026 (2 updates tracked since 2026).

About Jamie Shrader NPPES

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

JAMIE SHRADER (NPI 1073442893) is an individual general practice provider in San Antonio, Texas, licensed in Texas (42736) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073442893
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJAMIE SHRADER
Location Address11930 W US HIGHWAY 90 STE 106San Antonio, TX 78245-9613
Mailing Address11930 W Us Highway 90 Ste 106San Antonio, TX 78245-9613
Sole ProprietorNo
Enumeration DateMay 18, 2026
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1073442893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 42736
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11930 W US HIGHWAY 90 STE 106, San Antonio, TX 78245

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamie Shrader 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
11930 W US HIGHWAY 90 STE 106
SAN ANTONIO, TX 78245

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 Jamie Shrader's NPI number?

The NPI number for Jamie Shrader is 1073442893. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Jamie Shrader located?

Jamie Shrader practices at 11930 W Us Highway 90 Ste 106, San Antonio, TX 78245. The listed phone number is (210) 209-8418.

What is Jamie Shrader's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jamie Shrader enrolled in Medicare?

Yes. Jamie Shrader is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Shrader was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.