Individual provider Active NPI

Debbie Wasson, P.A.-C

  • Medical Physician Assistant
  • Abilene, TX
National Provider Identifier
1275574584
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01112 Issued in TX
Practice address
6300 Regional PLZ
Suite 820
Abilene, TX 79606-5251
Phone
(325) 692-3777
Fax
(325) 695-2659
NPI assigned
Jun 9, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA01112 TX Primary

Addresses

Primary practice location

6300 Regional PLZ
Suite 820
Abilene, TX 79606-5251

Mailing address

PO Box 5496
Abilene, TX 79608-5496
Phone (325) 692-3777

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
I20160226000167 TX Order and Referring Only - Physician Assistant 6507815008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01112TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Abilene PA Past Accepting new patients
Sandip Mathur, M.D., P.a. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1275574584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5496",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085496",
            "telephone_number": "325-692-3777",
            "fax_number": "325-695-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 REGIONAL PLZ",
            "address_2": "SUITE 820",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065251",
            "telephone_number": "325-692-3777",
            "fax_number": "325-695-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "DEBBIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.