Gina Vandevender, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00363 Issued in TX

Practice address

810 Hospital Dr
Ste 115
Beaumont, TX 77701-4600

Phone

(409) 838-4533

Fax

(409) 833-1616

NPI assigned

Aug 11, 2006

Last updated

Apr 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Home Health Home health agency, Nederland, TX, CCN 679237
• Pulse Homecare LTD Home health agency, Beaumont, TX, CCN 457884
• Choice Health at Home Home health agency, Beaumont, TX, CCN 457852
• Enhabit Home Health Home health agency, Beaumont, TX, CCN 677137
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gina.vandevender@bpn.eclinicaldirectplus.com

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.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Care Compare group NPD
• Preventive Medicine of Southeast Texas, LLP

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1013928290
  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation
• Preferred Home Health LP

  dba Enhabit Home Health

  • Home Health Agency
  • Beaumont, TX
  • NPI 1023098399
  Care Compare affiliation
• Pulse Homecare, LTD.

  dba Pulse Homecare

  • Home Health Agency
  • Beaumont, TX
  • NPI 1548279888
  Care Compare affiliation
• Secure Home Health Management, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Beaumont, TX
  • NPI 1467494948
  Care Compare affiliation
• Texas Health Care Group of the Golden Triangle, LLC

  dba Southern Home Health

  • Home Health Agency
  • Nederland, TX
  • NPI 1578673786
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1124039201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "STE 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-838-4533",
            "fax_number": "409-833-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOSPITAL DR",
            "address_2": "STE 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014600",
            "telephone_number": "409-838-4533",
            "fax_number": "409-833-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEVENDER",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Valentine, LPC-A
• Crissa Jean Vallery, LPC
• Avery Valls, DDS
• Keitha June Van Ness, LPC
• Jennifer Vandehoef, FNP-C
• Kinnedy Rayne Vandevender, LPC
• Timmie Erin Vardell, BCBA
• Stephanie Renee Vaughan, LPC
• Vaughn Medical Equipment Repair Service LLC
• Vaughn Medical LLC

• Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.