Individual provider Active NPI

Ana Isabel Archila, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1447833264
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14545 Issued in TX
Practice address
5501 Independence Pkwy Ste 110
Plano, TX 75023-5472
Phone
(940) 381-1501
Fax
(972) 424-9117
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 PA14545 TX Primary

Addresses

Primary practice location

5501 Independence Pkwy Ste 110
Plano, TX 75023-5472

Mailing address

1820 Willow LN
Plano, TX 75074-5024
Phone (214) 723-1349

Other names 1

  • Ana Chavez 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
I20210826000126 TX Practitioner - Physician Assistant 9335544592 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14545TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of North Texas, Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIBIAD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1447833264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WILLOW LN",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745024",
            "telephone_number": "214-723-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235472",
            "telephone_number": "940-381-1501",
            "fax_number": "972-424-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHILA",
        "first_name": "ANA",
        "middle_name": "ISABEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "CHAVEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.