Laurel Collins, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14171 Issued in TX

Practice address

408 N Giraud
Cotulla, TX 78014-3113

Phone

(830) 879-2279

Fax

(830) 879-2235

NPI assigned

Jan 26, 2021

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

Other identifiers 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, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Hometown Healthcare LLCGroup PAC ID 8426247925, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Hometown Healthcare LLC

  • Rural Health Clinic/Center
  • Cotulla, TX
  • NPI 1881911030

  TX

  Medicare reassignment Care Compare group
• Hometown Healthcare LLC

  • Rural Health Clinic/Center
  • Dilley, TX
  • NPI 1538486790
  Care Compare group
• Hometown Healthcare LLC

  • Family Medicine Physician
  • Orange Grove, TX
  • NPI 1255851465
  NPD

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1225628951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "ORANGE GROVE",
            "state": "TX",
            "postal_code": "783722070",
            "telephone_number": "361-382-2024",
            "fax_number": "855-606-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N GIRAUD",
            "city": "COTULLA",
            "state": "TX",
            "postal_code": "780143113",
            "telephone_number": "830-879-2279",
            "fax_number": "830-879-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Coit Rd Apt 2721",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750258256",
            "country_code": "US",
            "telephone_number": "228-236-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LAUREL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA14171",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Aranda, PTA
• Maria Dolores Castro
• Cotulla Isd
• Cotulla Smiles PLLC
• County of la Salle
• County of la Salle
• County of la Salle

• All providers in Cotulla, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.