Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shana Fakkel, PA

Individual provider Medical Physician Assistant · NPI 1659612752

MS. Shana Fakkel, PA is a Physician Assistant in Dallas, Texas. Qualified in 2012, 14 years ago. Practices with Primamed Physicians, PLLC, a 63-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11910 Greenville Ave Ste 500
Dallas, TX 75243-3596
Phone: (214) 572-1124
Fax: (214) 572-7724
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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

Record details

NPI number1659612752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 14, 2013
Last updated in NPPESMarch 14, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Primamed Physicians, Pllc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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