Individual provider Active NPI

Angelina L Reyna, PA

  • Physician Assistant
  • Harlingen, TX
National Provider Identifier
1205299492
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10420 Issued in TX
Practice address
3809 W Business 83
Harlingen, TX 78552-3521
Phone
(956) 364-0325
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10420 TX Primary

Addresses

Primary practice location

3809 W Business 83
Harlingen, TX 78552-3521

Mailing address

3809 W Business 83
Harlingen, TX 78552-3521
Phone (956) 364-0325

Other practice location 1

611 N Bryan Rd
Mission, TX 78572-6285
Phone (956) 580-3303

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
I20160425000989 TX Practitioner - Physician Assistant 4284933318 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jan 17, 2023 Accepting new patients

Locations

3809 W Business 83
Harlingen, TX 78552
Phone (956) 364-0325

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

Interoperability endpoints

  • Direct secure messaging: angelina.reyna@wellmed.eclinicaldirectplus.com

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1205299492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W BUSINESS 83",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523521",
            "telephone_number": "956-364-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W BUSINESS 83",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523521",
            "telephone_number": "956-364-0325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "TX",
            "postal_code": "785726285",
            "country_code": "US",
            "telephone_number": "956-580-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ANGELINA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.