Individual provider Active NPI

Andrea Sacramento

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1316675820
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18876 Issued in TX
Practice address
1309 E Ridge Rd Ste 1
McAllen, TX 78503-1518
Phone
(956) 631-8875
Fax
(956) 683-1502
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 PA18876 TX Primary

Addresses

Primary practice location

1309 E Ridge Rd Ste 1
McAllen, TX 78503-1518

Mailing address

PO Box 4830
Edinburg, TX 78540-4830
Phone (956) 631-8875

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
I20250403003814 TX Practitioner - Physician Assistant 1052835733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Retina Associates, PLLCGroup PAC ID 9638599475, 4 clinicians

Practice addresses (Care Compare)

1006 E Hillside Rd
Laredo, TX 78041-3287
Phone (956) 631-8875

1113 Central Blvd
Suite E
Brownsville, TX 78520-7532
Phone (956) 504-1202

1205 N Ed Carey Dr
Harlingen, TX 78550-9207
Phone (956) 423-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA18876TXMDMedical 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.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1316675820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4830",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785404830",
            "telephone_number": "956-631-8875",
            "fax_number": "956-683-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 E RIDGE RD STE 1",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031518",
            "telephone_number": "956-631-8875",
            "fax_number": "956-683-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACRAMENTO",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.