Individual provider Active NPI

Rebecca Annette Sanchez, PA-C

  • Surgical Physician Assistant
  • Midland, TX
National Provider Identifier
1174846364
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA06608 Issued in TX
Practice address
5615 Deauville Ste 240
Midland, TX 79706-2709
Phone
(432) 221-5560
Fax
(432) 580-5899
NPI assigned
Mar 2, 2010
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA06608 TX Primary

Addresses

Primary practice location

5615 Deauville Ste 240
Midland, TX 79706-2709

Mailing address

5615 Deauville Ste 240
Midland, TX 79706-2709
Phone (432) 221-5560

Other identifiers 2

IdentifierTypeStateIssuer
PA06608OtherTXSTATE LICENSE
12118357OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.sanchez.1@9925.direct.athenahealth.com Direct

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
I20100622000124 TX Practitioner - Physician Assistant 1355472291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Texas Orthopedic Group IncGroup PAC ID 1850527557, 16 clinicians

Practice addresses (Care Compare)

5615 Deauville
Suite 220
Midland, TX 79706-2707
Phone (432) 686-0321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06608TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Care I, Inc CurrentSince Sep 6, 2020 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Past Accepting new patients
West Texas Spine PA Past Accepting new patients
West Texas Orthopedics LLP Past Accepting new patients

Locations

5615 Deauville
Ste 240
Midland, TX 79706
Phone (432) 221-5560

Interoperability endpoints

  • Direct secure messaging: rebecca.sanchez.1@3522.direct.athenahealth.com
  • Direct secure messaging: rebecca.sanchez.1@9925.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1174846364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062709",
            "telephone_number": "432-221-5560",
            "fax_number": "817-299-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 DEAUVILLE STE 240",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797062709",
            "telephone_number": "432-221-5560",
            "fax_number": "432-580-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "REBECCA",
        "middle_name": "ANNETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA06608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12118357",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.sanchez.1@9925.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5615 Deauville Ste 240",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797062709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.