Active NPI
Nanette R Paredes, PA-C
- Medical Physician Assistant
- Midland, TX
National Provider Identifier
1437175163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA04008
- Practice address
- 400 Rosalind Redfern Grover Pkwy Ste 120
Midland, TX 79701-5849 - Phone
- (432) 684-6962
- Fax
- (432) 684-6376
- NPI assigned
- Jul 14, 2006
- Last updated
- Aug 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA04008 | TX | Primary |
Addresses
Primary practice location
400 Rosalind Redfern Grover Pkwy Ste 120
Midland, TX 79701-5849
Mailing address
4214 Andrews Hwy Ste 240
Midland, TX 79703-4817
Phone (432) 686-6605
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 716134 | Other | TX | TX MEDICARE |
| PA04008 | Other | TX | LICENSE |
Other names 1
- Nanette R Reyes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | padmaja.patel.1@3522.direct.athenahealth.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
400 Rosalind Redfern Grover Pkwy
Suite 120
Midland, TX 79701-5849
Phone (432) 684-6962
4214 Andrews Hwy
Suite 240
Midland, TX 79703-4817
Phone (432) 221-4243
500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 686-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Almudena Ramos, M.D., P.a. | Past | Accepting new patients |
Interoperability endpoints
- nanette.paredes.1@3522.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Premier Physicians
- General Practice Physician
- Midland, TX
- NPI 1275522864
-
- Rehabilitation Clinic/Center
- Big Spring, TX
- NPI 1760486708
-
- Specialist
- Midland, TX
- NPI 1447438221
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Stanton, TX
- NPI 1679560866
-
- Home Health Agency
- Midland, TX
- NPI 1023062148
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1437175163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4214 ANDREWS HWY STE 240",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797034817",
"telephone_number": "432-686-6605",
"fax_number": "432-682-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ROSALIND REDFERN GROVER PKWY STE 120",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797015849",
"telephone_number": "432-684-6962",
"fax_number": "432-684-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREDES",
"first_name": "NANETTE",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA04008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX MEDICARE",
"identifier": "716134",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA04008",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "padmaja.patel.1@3522.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Rosalind Redfern Grover Pkwy Ste 120",
"city": "Midland",
"state": "TX",
"country_code": "US",
"postal_code": "797015849",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NANETTE",
"last_name": "REYES",
"middle_name": "R",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.