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

Sex

Female

Sole proprietor

No

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.

• 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

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187

  Hospital

  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888

  Hospital

  Care Compare affiliation
• Preferred Home Health LP

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

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

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

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician Network 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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2014.

{
    "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

• All providers in Beaumont, TX
• 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.