NPIMap

Individual provider Active NPI

Elsa C Pearce, PA-C

  • Surgical Physician Assistant
  • Wichita Falls, TX
National Provider Identifier
1083784102
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA03643 Issued in TX
Practice address
1722 9TH St
Wichita Falls, TX 76301-5003
Phone
(940) 322-1075
Fax
(940) 761-3832
NPI assigned
Nov 8, 2006
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03643 TX
Medical Physician Assistant 363AM0700X PA03643 TX
Emergency Medicine Physician 207P00000X PA03643 TX
Surgical Physician Assistant 363AS0400X PA03643 TX Primary

Addresses

Primary practice location

1722 9TH St
Wichita Falls, TX 76301-5003

Mailing address

6222 Lost Creek Dr
Corpus Christi, TX 78413-2955
Phone (361) 737-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000697 TX Practitioner - Physician Assistant 8527015072 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Hospitalist PLLCGroup PAC ID 0042685695, 6 clinicians

Practice addresses (Care Compare)

2201 Cleo St
Suite B
Corpus Christi, TX 78405-1914
Phone (361) 299-0125

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03643TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Hospitalist PLLC CurrentSince Feb 11, 2026 Accepting new patients
Bradley E. Samuelson, MD PA PastSince Jun 1, 2001 Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Abk Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Camino Real Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

2201 Cleo St
#B
Corpus Christi, TX 78405
Phone (361) 299-0125

Interoperability endpoints

  • Direct secure messaging: epearce352837@christushealth.direct-ci.net

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1083784102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 LOST CREEK DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132955",
            "telephone_number": "361-737-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 9TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015003",
            "telephone_number": "940-322-1075",
            "fax_number": "940-761-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "ELSA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03643",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03643",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "PA03643",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.