Kristin L Rettig, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07879 Issued in TX

Practice address

5615 Deauville Ste 220
Midland, TX 79706-2707

Phone

(432) 221-5560

NPI assigned

Aug 1, 2012

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

Electronic endpoints 1

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

Midland Texas Orthopedic Group IncGroup PAC ID 1850527557, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kretig@rfhc.gwaydirect.com
• Direct secure messaging: kristin.rettig.1@3522.direct.athenahealth.com
• Direct secure messaging: kristin.rettig.1@9925.direct.athenahealth.com

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.

• Midland Texas Orthopedic Group Inc

  • Orthopaedic Surgery Physician
  • Midland, TX
  • NPI 1346681061
  Medicare reassignment Care Compare group
• Jeffrey D Rettig DO PA

  • Family Medicine Physician
  • Groesbeck, TX
  • NPI 1063680619
  Medicare reassignment
• Dora Roberts Rehabilitation Center

  • Rehabilitation Clinic/Center
  • Big Spring, TX
  • NPI 1760486708
  Care Compare group
• Texas Tech University Health Sciences Center Lubbock

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
  • NPI 1053458026
  NPD (past)
• West Texas Orthopedics LLP

  • Orthopaedic Surgery Physician
  • Midland, TX
  • NPI 1831143353
  NPD (past)

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

• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164778767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062707",
            "telephone_number": "432-221-5560",
            "fax_number": "254-729-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 220",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062707",
            "telephone_number": "432-221-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 N MacArthur Blvd",
            "address_2": "STE 350",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750612219",
            "country_code": "US",
            "telephone_number": "972-253-2555",
            "fax_number": "972-253-4217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 W Trinity St",
            "address_purpose": "LOCATION",
            "city": "Groesbeck",
            "state": "TX",
            "postal_code": "766421324",
            "country_code": "US",
            "telephone_number": "254-729-3740",
            "fax_number": "254-729-2315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETTIG",
        "first_name": "KRISTIN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.rettig.1@9925.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5615 Deauville Ste 220",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797062707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.