Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jamie Shane Massengill, PA-C

Individual provider Medical Physician Assistant · NPI 1952404238

Mr. Jamie Shane Massengill, PA-C is a Physician Assistant in Edmond, Oklahoma. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Licensed in
OK
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7555 Winterwood Dr
Edmond, OK 73025-1861
Phone: (405) 990-5967
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1320 (OK)

Record details

NPI number1952404238
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 5, 2006
Last updated in NPPESFebruary 9, 2020
Certification dateFebruary 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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