Active NPI
Tess Walters, PA-C
- Physician Assistant
- Odessa, TX
National Provider Identifier
1346811874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14745
- Practice address
- 3051 E University Blvd
Odessa, TX 79762-7902 - Phone
- (432) 552-5656
- NPI assigned
- Jul 6, 2021
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14745 | TX | Primary |
Addresses
Primary practice location
3051 E University Blvd
Odessa, TX 79762-7902
Mailing address
2608 N University Dr
Nacogdoches, TX 75965-2904
Phone (936) 205-1099
Other practice location 1
2608 N University Dr
Nacogdoches, TX 75965-2904
Phone (936) 205-1099
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220427001878 | TX | Practitioner - Physician Assistant | 0749677425 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4710 NE Stallings Dr
Nacogdoches, TX 75965-1615
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Imaging Specialists PA | Past | Accepting new patients | |
| Texas Quick Care, LLC | Past | Accepting new patients | |
| Nacogdoches Womens Center, PLLC | Past | Accepting new patients | |
| Texas Quick Care, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Nacogdoches, TX
- NPI 1669988465
-
dba Solis Mammography
- Diagnostic Ultrasound Physician
- Houston, TX
- NPI 1164478186
-
- Rural Health Clinic/Center
- Etoile, TX
- NPI 1295433944
-
- Rural Health Clinic/Center
- Nacogdoches, TX
- NPI 1942876701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1346811874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 N UNIVERSITY DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759652904",
"telephone_number": "936-205-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3051 E UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797627902",
"telephone_number": "432-552-5656"
}
],
"practiceLocations": [
{
"address_1": "2608 N University Dr",
"address_purpose": "LOCATION",
"city": "Nacogdoches",
"state": "TX",
"postal_code": "759652904",
"country_code": "US",
"telephone_number": "936-205-1099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "TESS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.