Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Shane Foree Spears, PA-C, CCP

Surgical Physician Assistant in Tyler, TX · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336119916

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Registry record

Entity type Individual (Type 1)

Name Shane Foree Spears

Credential PA-C, CCP

Sex Male

Practice address 1000 S Beckham Ave, Tyler, TX, 75701

Phone (903) 590-5611

Enumeration date Jan 25, 2006

Last updated in NPPES Mar 29, 2023

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004751 (WA) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004751 (WA) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA15805 (TX) Primary

Other identifiers

Identifier	Type	State	Issuer
1060261	Medicaid	WA	-
9468232	Other	WA	AETNA
0225125	Other	WA	L&I AND CRIME VICTIMS
1425SP	Other	WA	REGENCE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Shane Spears's NPI record?

Cross-check NPI 1336119916 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1336119916 active?

Yes, as of the latest NPPES snapshot, NPI 1336119916 is active (record last updated 2023-03-29).

Other providers at this practice address

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Aleksandra Olsson-Detwiler Internal Medicine Physician · Tyler, TX NPI 1740280510 Detlef Wencker Advanced Heart Failure and Transplant Cardiology Physician · Tyler, TX NPI 1285634881 Paul Lim Internal Medicine Physician · Tyler, TX NPI 1942288634 Marcus Byrd Internal Medicine Physician · Tyler, TX NPI 1518930304 Dinesh Sangana Internal Medicine Physician · Tyler, TX NPI 1669434908 June Belt Physician Assistant · Tyler, TX NPI 1497708960 Daniel Baber Emergency Medicine Physician · Tyler, TX NPI 1538112024 Colin Marino Emergency Medicine Physician · Tyler, TX NPI 1578519849

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-29.