Individual provider Active NPI

Autumn Montana

  • Physician Assistant
  • Denison, TX
National Provider Identifier
1134857881
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5012 US Hwy 75 Ste 230
Denison, TX 75020-4634
Phone
(469) 545-8300
NPI assigned
Aug 10, 2022
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

5012 US Hwy 75 Ste 230
Denison, TX 75020-4634

Mailing address

1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049

Other practice location 1

1201 W University Dr
Edinburg, TX 78539-2909
Phone (956) 665-7049

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
I20250616003346 TX Practitioner - Physician Assistant 0749791861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xyr Health PLLCGroup PAC ID 9335503341, 4 clinicians

Practice addresses (Care Compare)

400 W LBJ Fwy
Suite 330
Irving, TX 75063-3717
Phone (972) 556-2885

4441 W Airport Fwy
Suite 245
Irving, TX 75062-5960
Phone (469) 252-3510

5012 US Hwy 75
Suite 230
Denison, TX 75020-4634
Phone (469) 252-3510

5655 W Spring Creek Pkwy
Suite 115
Plano, TX 75024-4175
Phone (469) 252-3510

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Orthopedic Surgery & Sports Medicine P.a. CurrentSince Nov 1, 2025 Accepting new patients
Las Colinas Orthopedic Surgery and Sports Medicine P.a. CurrentSince Nov 1, 2025 Accepting new patients

Locations

910 E Southlake Blvd
Ste 155
Southlake, TX 76092
Phone (817) 421-5000

Organizations & group practices 3

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1134857881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392909",
            "telephone_number": "956-665-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 US HWY 75 STE 230",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204634",
            "telephone_number": "469-545-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392909",
            "country_code": "US",
            "telephone_number": "956-665-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.