Individual provider Active NPI

Vincent Anthony Feller, PA-C

  • Physician Assistant
  • Bridgeport, TX
National Provider Identifier
1295782498
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06351 Issued in TX
Practice address
808 Woodrow Wilson Ray Cir
Bridgeport, TX 76426-2061
Phone
(940) 683-2297
Fax
(877) 330-4479
NPI assigned
May 31, 2006
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 PA06351 TX Primary

Addresses

Primary practice location

808 Woodrow Wilson Ray Cir
Bridgeport, TX 76426-2061

Mailing address

601 S Main St Ste 200
Keller, TX 76248-7028
Phone (682) 549-3311

Other practice location 1

601 S Main St Ste 200
Keller, TX 76248-7028
Phone (682) 549-3311

Other identifiers 1

IdentifierTypeStateIssuer
PA06351OtherTXTEXAS LICENSE

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
I20230615000658 TX Order and Referring Only - Physician Assistant 0547352577

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06351TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Timarron Family Medicine PA PastSince Nov 1, 1998 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: vforders@tfmp-tx.direct.office.nextgen.com

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1295782498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S MAIN ST STE 200",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487028",
            "telephone_number": "682-549-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 WOODROW WILSON RAY CIR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262061",
            "telephone_number": "940-683-2297",
            "fax_number": "877-330-4479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762487028",
            "country_code": "US",
            "telephone_number": "682-549-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLER",
        "first_name": "VINCENT",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "PA06351",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, TX

Sources for this page

Verify at the official NPI Registry.