MONICA LISA SHOEMAKER PA-C
NPI 1255638029
Physician Assistant in Mcallen, TX
NPI Status: Active since February 14, 2011
Contact Information
801 E NOLANA AVE
SUITE 13A
MCALLEN, TX
ZIP 78504
Phone: (956) 686-2700
Fax: (956) 686-2708
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About MONICA SHOEMAKER
This page provides the complete NPI Profile along with additional information for Monica Shoemaker, a primary care provider established in Mcallen, Texas with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1255638029 assigned on February 2011. The practitioner's primary taxonomy code is 363A00000X with license number PA07138 (TX). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1255638029
- Provider Name
- MONICA LISA SHOEMAKER PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 801 E NOLANA AVE SUITE 13A MCALLEN, TX 78504
- Location Phone
- (956) 686-2700
- Location Fax
- (956) 686-2708
- Mailing Address
- 801 E NOLANA AVE SUITE 13A MCALLEN, TX 78504
- Mailing Phone
- (956) 686-2700
- Mailing Fax
- (956) 686-2708
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-14-2011
- Last Update Date
- 11-10-2011
- Code Navigator
A primary care provider (PCP) like Monica Shoemaker sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA07138
- License State
- TX
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Monica Shoemaker is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78504 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 6 | 3 | 8 | 0 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 12 | 3 | 16 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 2 + 3 + 1 + 6 + 0 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1255638029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487853727 | ZAHEDA HUSSAIN MD Individual | Pediatrics | 801 E NOLANA AVE SUITE 13-A MCALLEN, TX 78504 (956) 686-2700 |
| 1518146125 | MARISOL LOPEZ COTA Individual | Occupational Therapy Assistant | 801 E NOLANA AVE STE.10 MCALLEN, TX 78504 (956) 664-9904 |
| 1558543405 | SAROJINI BOSE, MD, PA Organization | Clinic/Center (Multi-Specialty) | 801 E NOLANA AVE SUITE 13A MCALLEN, TX 78504 (956) 686-2700 |
| 1124202338 | NOLANA MRI CENTER, INC Organization | Clinic/Center (Radiology) | 801 E NOLANA AVE STE 14 MCALLEN, TX 78504 (956) 661-9877 |
| 1831361575 | DAYNA M ESPERICUETA SLP-A Individual | Specialist/Technologist (Speech-Language Assistant) | 801 E NOLANA AVE STE. 10 MCALLEN, TX 78504 (956) 664-9904 |
| 1437318581 | BERNAL PEDIATRIC CLINIC Organization | Pediatrics | 801 E NOLANA AVE SUITE 11 MCALLEN, TX 78504 (956) 630-4669 |
| 1265676811 | RICARDO CANO PA-C Individual | Physician Assistant | 801 E NOLANA AVE SUITE 13-A MCALLEN, TX 78504 (956) 686-2700 |
| 1497089031 | GUSTAVO BUENTELLO MD F. A. A. P., PA Organization | General Practice | 801 E NOLANA AVE SUITE 17 MCALLEN, TX 78504 (956) 630-1616 |
| 1003093147 | DONA E COOPER-DOCKERY MD Individual | Internal Medicine | 801 E NOLANA AVE STE 12 MCALLEN, TX 78504 (956) 686-8802 |
| 1326065921 | DR. YVONNE EVA BRACAMONTES MD Individual | Family Medicine (Adult Medicine) | 801 E NOLANA AVE SUITE 4 MCALLEN, TX 78504 (956) 686-2626 |
| 1841606381 | MIDNITE DENTAL, PLLC Organization | Dentist | 801 E NOLANA AVE SUITE # 14 MCALLEN, TX 78504 (415) 225-6675 |
| 1588866370 | VALESKA BALDERAS MD Individual | Internal Medicine (Gastroenterology) | 801 E NOLANA AVE SUITE 4 MCALLEN, TX 78504 (956) 686-2626 |
| 1508951682 | MR. GUSTAVO BUENTELLO MD Individual | General Practice | 801 E NOLANA AVE STE 17 MCALLEN, TX 78504 (956) 630-1616 |
| 1679848600 | MS. ANISSA LOURDES ALVAREZ NP Individual | Nurse Practitioner (Family) | 801 E NOLANA AVE SUITE 4 MCALLEN, TX 78504 (956) 686-2626 |
| 1750640124 | POLICARPIO ENTERPRISES LLC Organization | Home Health | 801 E NOLANA AVE STE 10 MCALLEN, TX 78504 (956) 664-9889 |
| 1043996879 | BALANCE PRIMARY CARE Organization | Internal Medicine | 801 E NOLANA AVE MCALLEN, TX 78504 (469) 498-3668 |
| 1174985634 | NUMAN JAHANGIR M.D. Individual | Internal Medicine | 801 E NOLANA AVE MCALLEN, TX 78504 (469) 498-3668 |
| 1124844717 | JESSICA RAMOS Individual | Nurse Practitioner (Family) | 801 E NOLANA AVE MCALLEN, TX 78504 (956) 683-0404 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255638029, enumerated in the NPI registry as an "individual" on February 14, 2011
The provider is located at 801 E Nolana Ave Suite 13a Mcallen, Tx 78504 and the phone number is (956) 686-2700
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 14, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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