Individual provider Active NPI

Keyla Carolina Sanchez Mederos, PA-C

  • Physician Assistant
  • McKinney, TX
National Provider Identifier
1245982941
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2709 Issued in NE
Practice address
1620 W Virginia St
McKinney, TX 75069-7875
Phone
(214) 618-5600
Fax
(469) 945-3195
NPI assigned
Jan 24, 2022
Last updated
Jul 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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 2709 NE Primary

Addresses

Primary practice location

1620 W Virginia St
McKinney, TX 75069-7875

Mailing address

200 MLK Jr Blvd
Wichita Falls, TX 76301-1152
Phone (940) 766-6306

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
I20230801004626 TX Practitioner - Physician Assistant 7719372333 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2709NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Texas Community Health Care Center Inc. CurrentSince Sep 1, 2023 Accepting new patients
North Central Texas Community Health Care Center, Inc CurrentSince Sep 1, 2023 Accepting new patients
North Central Texas Community Health Care Center, Inc Physician Assistant Past Accepting new patients

Locations

4510 Medical Center Dr
Ste 201
McKinney, TX 75069
Phone (972) 562-1000

3713 W 15th St
Ste 401
Plano, TX 75075
Phone (972) 596-5900

200 Mlk Jr Blvd
Wichita Falls, TX 76301
Phone (940) 397-2609

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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1245982941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MLK JR BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-766-6306",
            "fax_number": "940-264-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W VIRGINIA ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697875",
            "telephone_number": "214-618-5600",
            "fax_number": "469-945-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ MEDEROS",
        "first_name": "KEYLA",
        "middle_name": "CAROLINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.