Individual provider Active NPI

Jeanette Alexis Maldonado, PA-C

  • Physician Assistant
  • Waxahachie, TX
National Provider Identifier
1396215380
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12551 Issued in TX
Practice address
141 RVG Pkwy Ste 100
Waxahachie, TX 75165-5289
Phone
(972) 685-4035
Fax
(214) 594-0840
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 PA12551 TX Primary

Addresses

Primary practice location

141 RVG Pkwy Ste 100
Waxahachie, TX 75165-5289

Mailing address

1023 Faldo Dr
Laredo, TX 78045-8113
Phone (956) 236-9281

Other practice location 1

321 W Southlake Blvd Ste 180
Southlake, TX 76092-6287
Phone (682) 271-0988

Other practice location 2

1023 Faldo Dr
Laredo, TX 78045-8113
Phone (956) 236-9281

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
I20190731001709 TX Practitioner - Physician Assistant 0648506477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Southwestern Medical School at Dallas, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Matthew D Barrows MD PAGroup PAC ID 6305894171, 23 clinicians

Practice addresses (Care Compare)

141 RVG Pkwy
Suite 100
Waxahachie, TX 75165-5289
Phone (972) 937-1313

1790 N Stonebridge Dr
McKinney, TX 75071-7437
Phone (972) 390-9002

Merit-based Incentive Payment System (MIPS)

Final score
76.77 of 100Reported as group
Quality
48.81
Promoting interoperability
100
Improvement activities
40
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA12551TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc CurrentSince Apr 3, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 1, 2021 Accepting new patients

Locations

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

13711 Wallisville Rd
Houston, TX 77049
Phone (713) 455-7777

1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: jmaldonado@directaddress.net

Organizations & group practices 6

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1396215380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 FALDO DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780458113",
            "telephone_number": "956-236-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 RVG PKWY STE 100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655289",
            "telephone_number": "972-685-4035",
            "fax_number": "214-594-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 W Southlake Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926287",
            "country_code": "US",
            "telephone_number": "682-271-0988",
            "fax_number": "682-273-0538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1023 Faldo Dr",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780458113",
            "country_code": "US",
            "telephone_number": "956-236-9281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JEANETTE",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.