Individual provider Active NPI

Belinda W Dutton, PA-C

  • Medical Physician Assistant
  • Abilene, TX
National Provider Identifier
1316058902
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01804TX Issued in TX
Practice address
1758 S Clack St
Abilene, TX 79605-4611
Phone
(325) 695-7246
Fax
(325) 793-2273
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01804TX TX
Medical Physician Assistant 363AM0700X PA01804TX TX Primary

Addresses

Primary practice location

1758 S Clack St
Abilene, TX 79605-4611

Mailing address

35 Windmill Cir
Abilene, TX 79606-5234
Phone (325) 695-7246

Other identifiers 1

IdentifierTypeStateIssuer
PA01804OtherTXLICENSE

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
I20081217000717 TX Practitioner - Physician Assistant 8022177815 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

1904 Pine St
Abilene, TX 79601-2450

6250 Regional PLZ
Suite 1060
Abilene, TX 79606-5261
Phone (325) 428-5660

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01804TXTXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Provider Network CurrentSince Jun 1, 2021 Accepting new patients
Jojoha, LLC Past Accepting new patients
Hotmec, LP Past Accepting new patients

Locations

35 Windmill Cir
Abilene, TX 79606
Phone (325) 428-5790

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1680 Antilley Rd
Ste 115
Abilene, TX 79606
Phone (325) 428-5680

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

Organizations & group practices 6

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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1316058902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WINDMILL CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065234",
            "telephone_number": "325-695-7246",
            "fax_number": "325-793-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 S CLACK ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054611",
            "telephone_number": "325-695-7246",
            "fax_number": "325-793-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "BELINDA",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01804TX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01804TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA01804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.