P Praxis·MD
● Active Type 1 · Individual

Kirsten MacHicek Bussell, PA -C

Physician Assistant·Shiner, TX· NPI 1427568807 · Enumerated 2017 · 8 years on NPI
Bussell is 1 of 2 physician assistant providers in Shiner and 1 of 11022 in Texas.
NPI age
8 years
Enumerated 2017-10-11
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
8 years
↓ 2 yr below median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-10Enumerated in NPPES
2017 2026

Where they practice

Practice location
124 E Wolters 2nd St
Shiner, TX 77984
📞 3615943824fax 3615943854
Mailing address
Po Box 965
Shiner, TX 779840965
📞 3615943824fax 3615943854

Additional practice locations

1 secondary location on file with NPPES.

Location 2
100 South Pecan
Moulton, TX 779750238
📞 3615964675fax 6361596490

Specialties

  • Physician Assistant Primary
    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...
    TX license #PA11615 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (TX) 742754804 TAX ID
01 (TX) 742619228 TAX ID
05 (TX) 083112501

Practice context

Solo or small practice. No 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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