P Praxis·MD
● Active Type 1 · Individual

Shane Foree Spears, PA-C, CCP

Physician Assistant·Tyler, TX· NPI 1336119916 · Enumerated 2006 · 20 years on NPI
Spears is 1 of 18 physician assistant providers in Tyler and 1 of 1890 in Texas.
NPI age
20 years
Enumerated 2006-01-25
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
TX, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1890 active physician assistant providers in Texas.

NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
2 states
Top 94% — 5% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
1000 S Beckham Ave
Tyler, TX 757011908
📞 9035905611
Mailing address
1000 S Beckham Ave
Tyler, TX 757011908
📞 9035905611

Specialties

  • Physician Assistant Primary
    Definition to come...
    TX license #PA15805WA license #PA10004751 taxonomy 363AS0400X
  • Physician Assistant
    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...
    WA license #PA10004751 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (WA) 1060261
01 (WA) 9468232 AETNA
01 (WA) 0225125 L&I AND CRIME VICTIMS
01 (WA) 1425SP REGENCE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 167 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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