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KENDALL LEA SHIREY PA-C
NPI 1639649247
Physician Assistant in Fort Worth, TX

Active since November 27, 2018PECOS EnrolledAccepts Medicare Assignment
9509 N BEACH ST STE 101, FORT WORTH, TX 76244(817) 741-4347(817) 741-4483 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Oct 21, 2019, Nov 27, 2018 (3 updates tracked since 2018).

About Kendall Lea Shirey Pa-c NPPES

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

KENDALL LEA SHIREY PA-C (NPI 1639649247) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA12442) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2018).

NPPES Registry Identity

NPI1639649247
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENDALL LEA SHIREYCredential: PA-C
Location Address9509 N BEACH ST STE 101Fort Worth, TX 76244-6399
Mailing AddressPo Box 35629Dallas, TX 75235-0629 · (214) 424-2213
Phone(817) 741-4347
Fax(817) 741-4483
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2018
Enumeration DateNovember 27, 2018
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1639649247 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 · PA12442
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.
9509 N BEACH ST STE 101, Fort Worth, TX 76244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Kendall Lea Shirey 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 ID4082953898
PECOS Enrollment IDI20190221002479
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 76244 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 4

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

KIM MINH NGOC LE DO
Internal Medicine (Gastroenterology)
9509 N BEACH ST STE 101
FORT WORTH, TX 76244
Tarrant County (817) 741-4347
HUNTER HARRIS PA-C
Physician Assistant
9509 N BEACH ST STE 101
FORT WORTH, TX 76244
Tarrant County (817) 741-4347
KATELYNN FAULK PA
Physician Assistant
9509 N BEACH ST STE 101
FORT WORTH, TX 76244
Tarrant County (817) 741-4347
ALEXA ANN POKLUDA MPAS, PA-C
Physician Assistant
9509 N BEACH ST STE 101
FORT WORTH, TX 76244
Tarrant County (817) 741-4347

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 Kendall Shirey's NPI number?

The NPI number for Kendall Shirey is 1639649247. It was assigned to this individual provider in the NPPES registry on November 27, 2018.

Where is Kendall Shirey located?

Kendall Shirey practices at 9509 N Beach St Ste 101, Fort Worth, TX 76244. The listed phone number is (817) 741-4347.

What is Kendall Shirey's specialty?

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

Is Kendall Shirey enrolled in Medicare?

Yes. Kendall Shirey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kendall Shirey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kendall Shirey 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 Kendall Shirey was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.