Individual provider Active NPI

Jason Blakely Hensler, PA-C

  • Medical Physician Assistant
  • McAllen, TX
National Provider Identifier
1356345763
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03094 Issued in TX
Practice address
4865 N. McColl Rd.
McAllen, TX 78504
Phone
(956) 661-8200
Fax
(956) 661-8205
NPI assigned
Jun 13, 2005
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 PA03094 TX Primary

Addresses

Primary practice location

4865 N. McColl Rd.
McAllen, TX 78504

Mailing address

P.O. Box 600
Edinburg, TX 78540-0600
Phone (956) 661-8200

Other identifiers 2

IdentifierTypeStateIssuer
PA03094OtherTXLISCENSE NUMBER
00772TOtherTXMEDICARE GRP#

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
I20120410000266 TX Practitioner - Physician Assistant 0547421034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2821 Michael Angelo
Suite 201
Edinburg, TX 78539

2821 Michaelangelo Dr
Suite 201
Edinburg, TX 78539-1406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
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, 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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1356345763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 600",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785400600",
            "telephone_number": "956-661-8200",
            "fax_number": "956-661-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4865 N. MCCOLL RD.",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "78504",
            "telephone_number": "956-661-8200",
            "fax_number": "956-661-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLER",
        "first_name": "JASON",
        "middle_name": "BLAKELY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISCENSE NUMBER",
            "identifier": "PA03094",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP#",
            "identifier": "00772T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.