Individual provider Active NPI

Missy Wu, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1154957751
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13471 Issued in TX
Practice address
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone
(832) 869-4818
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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
Physician Assistant 363A00000X PA13471 TX Primary

Addresses

Primary practice location

7877 Willow Chase Blvd
Houston, TX 77070-5934

Mailing address

8401 Datapoint Dr Ste 900
San Antonio, TX 78229-5385

Other practice location 1

8401 Datapoint Dr Ste 900
San Antonio, TX 78229-5385
Phone (844) 312-9422

Other practice location 2

902 Frostwood Dr Ste 201
Houston, TX 77024-2402
Phone (832) 869-4818

Other practice location 3

23838 Highway 59 N
Kingwood, TX 77339-1531
Phone (832) 869-4818

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
I20200429002957 TX Practitioner - Physician Assistant 1951731157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

2110 W Trenton Rd
Unit a
Edinburg, TX 78539-4674
Phone 8328694818235

2110 W Trenton Rd Unit B
Edinburg, TX 78539-4674
Phone 8328694818235

5441 Babcock Rd
Suite 102
San Antonio, TX 78240-3993
Phone 8328694818235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA13471TXMDPhysician Assistant

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1154957751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 900",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 WILLOW CHASE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705934",
            "telephone_number": "832-869-4818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Datapoint Dr Ste 900",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295385",
            "country_code": "US",
            "telephone_number": "844-312-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "902 Frostwood Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242402",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23838 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391531",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "MISSY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.