Individual provider Active NPI

Tess Walters, PA-C

  • Physician Assistant
  • Odessa, TX
National Provider Identifier
1346811874
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14745 Issued in TX
Practice address
3051 E University Blvd
Odessa, TX 79762-7902
Phone
(432) 552-5656
NPI assigned
Jul 6, 2021
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Rose Imaging Specialists PA Past Accepting new patients
Texas Quick Care, LLC PastSince Feb 13, 2022 Accepting new patients
Nacogdoches Womens Center, PLLC PastSince Jan 3, 2018 Accepting new patients
Texas Quick Care, LLC PastSince Feb 13, 2022 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.

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

Verify at the official NPI Registry.