Individual provider Active NPI

Jesus Mannuel Medina, PA

  • Medical Physician Assistant
  • McAllen, TX
National Provider Identifier
1346989720
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15522 Issued in TX
Practice address
909 N Jackson Rd
McAllen, TX 78501-9357
Phone
(956) 992-9161
Fax
(956) 992-9174
NPI assigned
Jun 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15522 TX Primary

Addresses

Primary practice location

909 N Jackson Rd
McAllen, TX 78501-9357

Mailing address

909 N Jackson Rd
McAllen, TX 78501-9357
Phone (956) 992-9161

Other practice location 1

336 S 8th St
Raymondville, TX 78580-2526
Phone (956) 689-2456

Other practice location 2

417 W Fm 495
San Juan, TX 78589-3717
Phone (956) 783-7088

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
I20220629002977 TX Practitioner - Physician Assistant 0042690620 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Americo M Baca PLLCGroup PAC ID 6800127507, 4 clinicians
Laser Surgical Solutions RGV LLCGroup PAC ID 9234423567, 3 clinicians

Practice addresses (Care Compare)

417 W FM
Suite 495
San Juan, TX 78589-3717
Phone (956) 783-7088

909 N Jackson Rd
McAllen, TX 78501-9357
Phone (956) 992-9161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA15522TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Americo M Baca PLLC CurrentSince Feb 1, 2026 Accepting new patients
Laser Surgical Solutions, RGV LLC CurrentSince Oct 16, 2025 Accepting new patients
Gi Care for Kids PA PastSince Jun 1, 2022 Accepting new patients

Locations

909 N Jackson Rd
McAllen, TX 78501
Phone (956) 992-9161

336 S 8th St
Raymondville, TX 78580
Phone (956) 689-2456

2542 Central Palm Dr
Ste 207
Rio Grande Cy, TX 78582
Phone (956) 263-1062

417 W FM 495
San Juan, TX 78589
Phone (956) 263-1062

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1346989720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019357",
            "telephone_number": "956-992-9161",
            "fax_number": "956-992-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N JACKSON RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019357",
            "telephone_number": "956-992-9161",
            "fax_number": "956-992-9174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Raymondville",
            "state": "TX",
            "postal_code": "785802526",
            "country_code": "US",
            "telephone_number": "956-689-2456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 W Fm 495",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785893717",
            "country_code": "US",
            "telephone_number": "956-783-7088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JESUS",
        "middle_name": "MANNUEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA15522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.