Individual provider Active NPI

Ashley Pena, PHYSICIAN ASSISTANT

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1053738880
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08966 Issued in TX
Practice address
100 E Ridge Rd Ste a
McAllen, TX 78503-1346
Phone
(956) 682-1888
Fax
(956) 661-2208
NPI assigned
Mar 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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 PA08966 TX Primary

Addresses

Primary practice location

100 E Ridge Rd Ste a
McAllen, TX 78503-1346

Mailing address

100 E Ridge Rd Ste a
McAllen, TX 78503-1346
Phone (956) 682-1888

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
I20140911001031 TX Practitioner - Physician Assistant 4587883293 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Hospitalists PLLCGroup PAC ID 7113209206, 21 clinicians

Practice addresses (Care Compare)

110 E Savannah Ave
BLDG B Suite 203
McAllen, TX 78503-1241
Phone (956) 686-7611

110 E Savannah Ave BLG B
Suite 202
McAllen, TX 78503-1241

Hospital & facility affiliations

  • South Texas Health System Hospital, Edinburg, TX, CCN 450119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Emergency Room Services PA Past Accepting new patients
Humberto Nunez MD PA PastSince Oct 1, 2013 Accepting new patients
Goodside Health Medical, PLLC Physician Assistant Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Goodside Health Medical, PLLC Physician Assistant Past Accepting new patients

Organizations & group practices 9

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 3

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": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1053738880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E RIDGE RD STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031346",
            "telephone_number": "956-682-1888",
            "fax_number": "956-661-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E RIDGE RD STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031346",
            "telephone_number": "956-682-1888",
            "fax_number": "956-661-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ASHLEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.