Individual provider Active NPI

Carolina Juarez Mendez, PA-C

  • Physician Assistant
  • McAllen, TX
National Provider Identifier
1396097176
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08046 Issued in TX
Practice address
1417 N Ware Rd Ste 300
McAllen, TX 78501-8587
Phone
(956) 585-4704
Fax
(956) 585-6775
NPI assigned
Oct 4, 2012
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 PA08046 TX Primary

Addresses

Primary practice location

1417 N Ware Rd Ste 300
McAllen, TX 78501-8587

Mailing address

1417 N Ware Rd Ste 300
McAllen, TX 78501-8587
Phone (956) 585-4704

Other names 1

  • Carolina Juarez Former name

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
I20130627000036 TX Practitioner - Physician Assistant 5698914448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1417 N Ware Rd
300 Wellmed at Mission
McAllen, TX 78501-4976
Phone (956) 585-4704

1701 S Cage Blvd
Suite 116
Pharr, TX 78577-6459
Phone (956) 702-7054

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

801 S Main St
Suite C
McAllen, TX 78501-5056
Phone (956) 686-0574

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA08046TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Jul 30, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Jul 30, 2022 Accepting new patients

Locations

1417 N Ware Rd
Ste 300
McAllen, TX 78501
Phone (956) 585-4704

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: carolina.juarez@wellmed.eclinicaldirectplus.com
  • Direct secure messaging: cjuarez.umc@umc.directbygreenway.com

Organizations & group practices 2

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": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1396097176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N WARE RD STE 300",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018587",
            "telephone_number": "956-585-4704",
            "fax_number": "956-585-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N WARE RD STE 300",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785018587",
            "telephone_number": "956-585-4704",
            "fax_number": "956-585-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "CAROLINA",
        "middle_name": "JUAREZ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "JUAREZ",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.