MR. JAMIE SHANE MASSENGILL PA-C
NPI 1952404238
Physician Assistant - Medical in Edmond, OK

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
7555 WINTERWOOD DR, EDMOND, OK 73025(405) 990-5967 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jamie Shane Massengill Pa-c NPPES

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

MR. JAMIE SHANE MASSENGILL PA-C (NPI 1952404238) is an individual medical provider in Edmond, Oklahoma, licensed in Oklahoma (1320) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1952404238
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JAMIE SHANE MASSENGILLCredential: PA-C
Location Address7555 WINTERWOOD DREdmond, OK 73025-1861
Mailing Address7555 Winterwood DrEdmond, OK 73025-1861 · (405) 990-5967
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 5, 2006
Last NPPES UpdateFebruary 9, 2020
NPI 1952404238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 1320
7555 WINTERWOOD DR, Edmond, OK 73025

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 and accepts Medicare assignment

Mr. Jamie Shane Massengill 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 ID1153314323
PECOS Enrollment IDI20040405000722
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Clinic/Center (Primary Care)
7555 WINTERWOOD DR
EDMOND, OK 73025

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 Massengill's NPI number?

The NPI number for Jamie Massengill is 1952404238. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Jamie Massengill located?

Jamie Massengill practices at 7555 Winterwood Dr, Edmond, OK 73025. The listed phone number is (405) 990-5967.

What is Jamie Massengill's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jamie Massengill enrolled in Medicare?

Yes. Jamie Massengill 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 Jamie Massengill accept?

Health plans from Medica, Mending Health and Oscar Insurance Company list Jamie Massengill 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 Jamie Massengill was last updated on February 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.