SHAYLA MAE KICKLIGHTER PA-C
NPI 1083284004
Physician Assistant in Dallas, TX

Active since June 30, 2021PECOS Enrolled
12222 N CENTRAL EXPY STE 420, DALLAS, TX 75243(972) 985-2797(972) 985-4797 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2022, Sep 10, 2021, Jul 1, 2021 (3 updates tracked since 2021).

About Shayla Mae Kicklighter Pa-c NPPES

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

SHAYLA MAE KICKLIGHTER PA-C (NPI 1083284004) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA15826) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083284004
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAYLA MAE KICKLIGHTERCredential: PA-C
Location Address12222 N CENTRAL EXPY STE 420Dallas, TX 75243-3825
Mailing Address12222 N Central Expy Ste 420Dallas, TX 75243-3825 · (972) 985-2797 · Fax (972) 985-4797
Fax(972) 985-4797
Sole ProprietorYes
Enumeration DateJune 30, 2021
Last NPPES UpdateJuly 6, 20223 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
NPI 1083284004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA15826
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12222 N CENTRAL EXPY STE 420, Dallas, TX 75243

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Shayla Mae Kicklighter 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 11

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

Orthopaedic Surgery
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Physician Assistant
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Physician Assistant
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Physician Assistant
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Physician Assistant
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Physician Assistant
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Physician Assistant
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243
Orthopaedic Surgery
12222 N CENTRAL EXPY STE 420
DALLAS, TX 75243

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 Shayla Kicklighter's NPI number?

The NPI number for Shayla Kicklighter is 1083284004. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Shayla Kicklighter located?

Shayla Kicklighter practices at 12222 N Central Expy Ste 420, Dallas, TX 75243. The listed phone number is (972) 985-2797.

What is Shayla Kicklighter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shayla Kicklighter enrolled in Medicare?

Yes. Shayla Kicklighter is registered in the Medicare PECOS enrollment system.

What insurance does Shayla Kicklighter accept?

Health plans from Oscar Insurance Company list Shayla Kicklighter 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 Shayla Kicklighter was last updated on July 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.