Individual provider Active NPI

Andrea Caldwell, PA-C

  • Physician Assistant
  • Mesquite, TX
National Provider Identifier
1124344734
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06737 Issued in TX
Practice address
1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone
(214) 320-7000
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00806000 NJ
Physician Assistant 363A00000X PA06737 TX Primary
Physician Assistant 363A00000X 66111 CA

Addresses

Primary practice location

1011 N Galloway Ave
Mesquite, TX 75149-2433

Mailing address

PO Box 850143
Richardson, TX 75085-0143
Phone (214) 552-9079

Other practice location 1

2740 Fulton Ave Ste 220
Sacramento, CA 95821-5186
Phone (908) 663-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NJ, NY, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100817001212 TX Practitioner - Physician Assistant 3476687195 Reassigns benefits to 3 organizations
I20240409001055 NJ Practitioner - Physician Assistant 3476687195 Reassigns benefits to 1 organization
I20240925002767 NY Practitioner - Physician Assistant 3476687195 Reassigns benefits to 1 organization
I20251205004157 CA Practitioner - Physician Assistant 3476687195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stationmd Professional CorporationGroup PAC ID 6204184104, 64 clinicians

Practice addresses (Care Compare)

4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898

515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929

Hospital & facility affiliations

  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66111CAMDMarriage & Family Therapist
030845NYMDGeneral Practice Dentistry
25MP00806000NJMDPhysician Assistant
PA06737TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stationmd California PC CurrentSince Oct 1, 2025 Accepting new patients
Chapel Emergency Physicians PLLC Past Accepting new patients
Mesquite Physicians Group, PLLC Past Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients

Locations

2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637

515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800

Organizations & group practices 7

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 6

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": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1124344734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850143",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750850143",
            "telephone_number": "214-552-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492433",
            "telephone_number": "214-320-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 Fulton Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215186",
            "country_code": "US",
            "telephone_number": "908-663-2929",
            "fax_number": "908-934-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00806000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06737",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "66111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.