Individual provider Active NPI

Andrea Dawn Hartquist, FNP

  • Family Nurse Practitioner
  • Portland, TX
National Provider Identifier
1235809575
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1052240 Issued in TX
Practice address
107 Cedar Dr
Portland, TX 78374-2935
Phone
(361) 643-6623
Fax
(361) 643-6964
NPI assigned
Sep 17, 2021
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1052240 TX Primary

Addresses

Primary practice location

107 Cedar Dr
Portland, TX 78374-2935

Mailing address

107 Cedar Dr
Portland, TX 78374-2935
Phone (361) 643-6623

Other identifiers 1

IdentifierTypeStateIssuer
1052240OtherTXTX BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrea.hartquist.1@29601.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
I20211013003784 TX Practitioner - Nurse Practitioner 2567860042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

2413 Memorial Pkwy
Portland, TX 78374-3209
Phone (361) 704-1544

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Dec 2, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 2, 2024 Accepting new patients
Better Weigh Center PLLC CurrentSince Sep 20, 2021 Accepting new patients

Locations

5826 Esplanade Dr
Ste 102
Corpus Christi, TX 78414
Phone (361) 287-6040

2413 Memorial Pkwy
Portland, TX 78374
Phone (361) 643-4546

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

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: andrea.hartquist@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1235809575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CEDAR DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742935",
            "telephone_number": "361-643-6623",
            "fax_number": "361-643-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CEDAR DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742935",
            "telephone_number": "361-643-6623",
            "fax_number": "361-643-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTQUIST",
        "first_name": "ANDREA",
        "middle_name": "DAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1052240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BOARD OF NURSING",
            "identifier": "1052240",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrea.hartquist.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "107 Cedar Dr",
            "city": "Portland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "783742935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

Verify at the official NPI Registry.