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

Q: 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.

Q: What is Shayla Kicklighter's specialty?

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

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: August 16, 2026.

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

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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

Phone(972) 985-2797

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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 12

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

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