Individual provider Active NPI

Brittany Rachael Desantiago, PA-C

  • Physician Assistant
  • Mansfield, TX
National Provider Identifier
1013679471
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15140 Issued in TX
Practice address
2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone
(682) 518-8619
Fax
(682) 518-8195
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15140 TX Primary

Addresses

Primary practice location

2975 E Broad St Ste 200
Mansfield, TX 76063-9186

Mailing address

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Other names 1

  • Ms. Brittany Rachael Pint Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211116000583 TX Practitioner - Physician Assistant 1759770670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (469) 695-2065

2700 E Broad St
Mansfield, TX 76063-5899
Phone (214) 884-4700

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15140TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Nov 9, 2021 Accepting new patients
Medhealth Current Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1013679471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639186",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639186",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESANTIAGO",
        "first_name": "BRITTANY",
        "middle_name": "RACHAEL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "PINT",
            "middle_name": "RACHAEL",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.