Individual provider Active NPI

Bayyinah Michel-Quintanilla, PA-C

  • Physician Assistant
  • Waxahachie, TX
National Provider Identifier
1083162499
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10546 Issued in TX
Practice address
572 Coleman St
Waxahachie, TX 75165-2837
Phone
(972) 923-2440
Fax
(972) 923-2445
NPI assigned
Sep 14, 2016
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 PA10546 TX Primary

Addresses

Primary practice location

572 Coleman St
Waxahachie, TX 75165-2837

Mailing address

620 N O Connor Rd
Irving, TX 75061-7530
Phone (972) 259-3541

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
I20190711002875 TX Practitioner - Physician Assistant 6608101720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

572 Coleman St
Waxahachie, TX 75165-2837
Phone 9729232440128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10546TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis County Coalition for Health Options CurrentSince Dec 16, 2024 Accepting new patients
Wellmed Medical Group, PA CurrentSince Jun 7, 2021 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jun 7, 2021 Accepting new patients

Locations

1401 W Jefferson Blvd
Dallas, TX 75208
Phone (214) 941-9200

805 W Lampasas St
Ennis, TX 75119
Phone (972) 875-9494

710 E Pioneer Pkwy
Apt 114
Grand Prairie, TX 75051

620 N O Connor Rd
Irving, TX 75061
Phone (972) 259-3541

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

411 E Jefferson St
Waxahachie, TX 75165
Phone (972) 923-2440

572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440

Interoperability endpoints

  • Direct secure messaging: bayyinah.michelquintanilla.p1@direct.hopehealthtx.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1083162499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617530",
            "telephone_number": "972-259-3541",
            "fax_number": "972-225-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 COLEMAN ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652837",
            "telephone_number": "972-923-2440",
            "fax_number": "972-923-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL-QUINTANILLA",
        "first_name": "BAYYINAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.