Individual provider Active NPI

Sierra Joy Santellana, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1245578046
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08309 Issued in TX
Practice address
1201 Fannin St Ste 262
Houston, TX 77002-6943
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0009841 CO
Physician Assistant 363A00000X PA01006 MS
Physician Assistant 363A00000X 13777 GA
Physician Assistant 363A00000X PA.2867 AL
Physician Assistant 363A00000X 3448 NE
Physician Assistant 363A00000X PA08309 TX Primary
Physician Assistant 363A00000X 2026001876 MO
Physician Assistant 363A00000X 6903 TN
Physician Assistant 363A00000X 2867 AL
Physician Assistant 363A00000X 138587 IA

Addresses

Primary practice location

1201 Fannin St Ste 262
Houston, TX 77002-6943

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

204 Camp Willow Rd
New Braunfels, TX 78130-1805
Phone (830) 627-9208

Other names 1

  • Ms. Sierra Joy Tesch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sierra-tesch@drtanyagrun.e-mdsdirect.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
I20130826000249 TX Practitioner - Physician Assistant 0042453979 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kellcy Medical Group PAGroup PAC ID 9739162165, 2 clinicians

Practice addresses (Care Compare)

204 Camp Willow Rd
New Braunfels, TX 78130-1805
Phone (830) 627-9208

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3448NEMDMental Health Counselor
2867ALMDPediatric Occupational Therapist
PA.2867ALMDPhysician Assistant
PA.0009841COMDPhysician Assistant
2026001876MOMDPhysician Assistant
PA01006MSMDPhysician Assistant
6903TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kellcy Medical Group CurrentSince Jul 28, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Dec 16, 2025 Accepting new patients
Osinb, PA PastSince Jun 1, 2020 Accepting new patients

Locations

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

Interoperability endpoints

  • Direct secure messaging: sierra-tesch@drtanyagrun.e-mdsdirect.com
  • Direct secure messaging: sierra.tesch.1@11309.direct.athenahealth.com
  • Direct secure messaging: sierra.santellana.1@11309.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1245578046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FANNIN ST STE 262",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026943",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Camp Willow Rd",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781301805",
            "country_code": "US",
            "telephone_number": "830-627-9208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTELLANA",
        "first_name": "SIERRA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009841",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA01006",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "13777",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2867",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "3448",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08309",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2026001876",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6903",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2867",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "138587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sierra-tesch@drtanyagrun.e-mdsdirect.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "652 N Houston Ave Ste 2",
            "city": "New Braunfels",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781304123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SIERRA",
            "last_name": "TESCH",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.