Active NPI
Marissa Yvette Tagle, PA-C
- Physician Assistant
- McAllen, TX
National Provider Identifier
1174899330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07755
- Practice address
- 2215 W Fern Ave Ste B
McAllen, TX 78501-6177 - Phone
- (956) 540-5181
- Fax
- (956) 468-2079
- NPI assigned
- Mar 31, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07755 | TX | Primary |
Addresses
Primary practice location
2215 W Fern Ave Ste B
McAllen, TX 78501-6177
Mailing address
2215 W Fern Ave Ste B
McAllen, TX 78501-6177
Phone (956) 540-5181
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 W Fern Ave
Suiteb
McAllen, TX 78501-6176
Phone (956) 476-3686
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.39 of 100
- Quality
- 68.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54916 | CA | MD | Dentist |
| PA07755 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Primary Care of California PC | Past | Accepting new patients | |
| Doctors Hospital at Renaissance, LTD | Past | Accepting new patients | |
| Texas Em-1 Medical Services, PA | Physician Assistant | Past | Accepting new patients |
| Texas Emergency Room Services PA | Past | Accepting new patients |
Organizations & group practices 9
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.
-
- Nurse Practitioner
- McAllen, TX
- NPI 1104447101
-
- Emergency Medicine Physician
- Edinburg, TX
- NPI 1942467113
-
- Emergency Medicine Physician
- McAllen, TX
- NPI 1336543636
-
- Emergency Medicine Physician
- Edinburg, TX
- NPI 1396250650
-
- Emergency Medicine Physician
- Weslaco, TX
- NPI 1801877212
-
- Multi-Specialty Clinic/Center
- Edinburg, TX
- NPI 1710600556
-
- Physician Assistant
- Texarkana, TX
- NPI 1558314062
-
- Emergency Medicine Physician
- Del Rio, TX
- NPI 1447200696
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1174899330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 W FERN AVE STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785016177",
"telephone_number": "956-540-5181",
"fax_number": "956-468-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 W FERN AVE STE B",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785016177",
"telephone_number": "956-540-5181",
"fax_number": "956-468-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGLE",
"first_name": "MARISSA",
"middle_name": "YVETTE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-31",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.