Judy-Ann Marie Acosta, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA07160 Issued in TX

Practice address

10 Medical Center Blvd Ste a
Lufkin, TX 75904-3163

Phone

(936) 632-4282

Fax

(936) 462-4249

NPI assigned

Mar 22, 2011

Last updated

Mar 22, 2011By the provider in NPPES

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

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, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Central Texas Community Health Centers

  dba CommUnityCare

  • Family Medicine Physician
  • Austin, TX
  • NPI 1427882091
  Medicare reassignment Care Compare group NPD
• Texas Institute for Kidney and Endocrine Disorders, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Lufkin, TX
  • NPI 1295915338
  Medicare reassignment
• Central Texas Community Health Centers

  dba CommUnityCare

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1598591414
  NPD
• Central Texas Community Health Centers

  dba CommUnityCare--Southeast Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1861420382
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1194024703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-632-4282",
            "fax_number": "936-462-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-632-4282",
            "fax_number": "936-462-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JUDY-ANN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Abernathy, RPH
• Abraham Cheriyan MD PA
• Abundant Grace Hospice, LLC
• Ac Provider Services of Texas LLC
• Accentcare, Inc.
• Act Venture Inc. (ACT Home Care)
• Active Therapy Intervention
• Sheridan Elizabeth Adair Fuller, FNP
• Alaura Adams, RNWHNP
• Kashemeyia Trashon Adams, RN

• Medical Physician Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.