Individual provider Active NPI

Andrea Fragoso Santana, PA-C

  • Physician Assistant
  • Brownsville, TX
National Provider Identifier
1255863890
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11159 Issued in TX
Practice address
1201 E Alton Gloor Blvd
Brownsville, TX 78526-3831
Phone
(956) 542-2325
NPI assigned
Apr 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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 PA11159 TX Primary

Addresses

Primary practice location

1201 E Alton Gloor Blvd
Brownsville, TX 78526-3831

Mailing address

4200 Las Palmas Cir Apt 712
Brownsville, TX 78521-2882
Phone (956) 592-9875

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
I20180111000368 TX Practitioner - Physician Assistant 1658630009 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
Naiara M Alvarez MD PAGroup PAC ID 8820334451, 4 clinicians

Practice addresses (Care Compare)

512 Victoria LN
Harlingen, TX 78550-3226
Phone (956) 423-1112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.95 of 100Reported as group
Quality
43.12
Improvement activities
40
Cost
83.02

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1255863890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LAS PALMAS CIR APT 712",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212882",
            "telephone_number": "956-592-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E ALTON GLOOR BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785263831",
            "telephone_number": "956-542-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGOSO SANTANA",
        "first_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.