Individual provider Active NPI

Amanda Jeanette Betancourt-Cortez, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1245689876
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10638 Issued in TX
Practice address
607 Camden St Ste 300
San Antonio, TX 78215-1610
Phone
(210) 253-3426
NPI assigned
Jun 4, 2016
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X PA10638 TX Primary

Addresses

Primary practice location

607 Camden St Ste 300
San Antonio, TX 78215-1610

Mailing address

607 Camden St Ste 300
San Antonio, TX 78215-1610
Phone (210) 253-3426

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
I20170805000035 TX Practitioner - Physician Assistant 3678844818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3406 Bob Rogers Dr
Suite 120
Eagle Pass, TX 78852-5942
Phone (830) 757-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.68
Improvement activities
40
Cost
83.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10638TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick County Hospital District CurrentSince May 1, 2023 Accepting new patients
Maverick County Hospital District CurrentSince May 1, 2023 Accepting new patients

Locations

3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570

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, 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": "1464998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1245689876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151610",
            "telephone_number": "210-253-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 CAMDEN ST STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151610",
            "telephone_number": "210-253-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT-CORTEZ",
        "first_name": "AMANDA",
        "middle_name": "JEANETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-04",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.