IVY Q BISHOP PA-C
NPI 1427459239
Physician Assistant in Lake Jackson, TX

Q: What is Ivy Bishop's NPI number?

The NPI number for Ivy Bishop is 1427459239. It was assigned to this individual provider in the NPPES registry on September 11, 2014.

Q: What is Ivy Bishop's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ivy Bishop was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 11, 2014PECOS EnrolledAccepts Medicare Assignment

100 MEDICAL DR, LAKE JACKSON, TX 77566(979) 297-4411 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2024, Aug 21, 2018 (2 updates tracked since 2018).

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About Ivy Q Bishop Pa-c NPPES

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

IVY Q BISHOP PA-C (NPI 1427459239) is an individual physician assistant in Lake Jackson, Texas, licensed in Texas (PA09329) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1427459239

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameIVY Q BISHOPCredential: PA-C

Location Address100 MEDICAL DRLake Jackson, TX 77566-5674

Mailing Address4835 Lbj FwyDallas, TX 75244-6005 · (469) 420-5529

Phone(979) 297-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 11, 2014

Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2024

✔ NPI 1427459239 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 · PA09329

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.

100 MEDICAL DR, Lake Jackson, TX 77566

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Secondary Practice Location 1

Location 16400 Fannin St Ste 2800Houston, TX 77030 · Phone (713) 704-7100 · Fax (713) 704-7150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivy Q Bishop Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658593959

PECOS Enrollment IDI20141120001116

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77566 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

$88.15 typical visit price

range $57.16 – $172.89

Typical copayment $22.03 (range $14.29 – $43.22)

Most-billed visit code 99203

Established Patient

$71.28 typical visit price

range $18.45 – $141.27

Typical copayment $17.82 (range $4.61 – $35.31)

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 20

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

DR. ZITA MARIE WITTE M.D.

Radiology (Diagnostic Radiology)

100 MEDICAL DR, DEPT. OF RADIOLOGY
LAKE JACKSON, TX 77566

Brazoria County (979) 285-1936

MRS. SUZANNE KLENTZMAN HORINE MS, RD, LD

Dietitian, Registered