Individual provider Active NPI

Amanda Raquel Navarro, PA

  • Physician Assistant
  • Schertz, TX
National Provider Identifier
1255059762
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18862 Issued in TX
Practice address
3701 FM 3009 Ste 101
Schertz, TX 78154-2796
Phone
(210) 945-2121
Fax
(210) 945-2221
NPI assigned
Aug 19, 2022
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 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 PA18862 TX Primary

Addresses

Primary practice location

3701 FM 3009 Ste 101
Schertz, TX 78154-2796

Mailing address

3701 FM 3009 Ste 101
Schertz, TX 78154-2796
Phone (210) 945-2121

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
I20250528002651 TX Practitioner - Physician Assistant 9335668748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kellum Physician Partners PAGroup PAC ID 1850553058, 17 clinicians

Practice addresses (Care Compare)

3401 FM
Suite 3009
Schertz, TX 78154-2711
Phone (210) 945-2121

3701 FM
3009 Suite 101
Schertz, TX 78154-2796
Phone (210) 945-2121

National Provider Directory

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

Organizations & group practices 1

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1255059762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 FM 3009 STE 101",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542796",
            "telephone_number": "210-945-2121",
            "fax_number": "210-945-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 FM 3009 STE 101",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542796",
            "telephone_number": "210-945-2121",
            "fax_number": "210-945-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "AMANDA",
        "middle_name": "RAQUEL",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.