Individual provider Active NPI

Crystal Marie Esquibel, PA-C

  • Physician Assistant
  • Los Fresnos, TX
National Provider Identifier
1467083121
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
702381 Issued in TX
Practice address
304 Red Oak Dr
Los Fresnos, TX 78566-5040
Phone
(956) 543-9002
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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 702381 TX Primary

Addresses

Primary practice location

304 Red Oak Dr
Los Fresnos, TX 78566-5040

Mailing address

304 Red Oak Dr
Los Fresnos, TX 78566-5040
Phone (956) 543-9002

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
I20200413000023 TX Practitioner - Physician Assistant 1951730027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The San Antonio Orthopaedic Group LLPGroup PAC ID 6800798794, 143 clinicians

Practice addresses (Care Compare)

2829 Babcock Rd
Suite 700
San Antonio, TX 78229-6015
Phone (210) 804-5400

400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6991
Phone (210) 804-5400

Merit-based Incentive Payment System (MIPS)

Final score
79.86 of 100Reported as group
Quality
65.93
Promoting interoperability
94
Improvement activities
40
Cost
71.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
702381TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The San Antonio Orthopaedic Group, LLP CurrentSince Mar 9, 2020 Accepting new patients
The San Antonio Orthopaedic Group, LLP CurrentSince Mar 9, 2020 Accepting new patients

Locations

400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

3327 Research Plz
Ste 215
San Antonio, TX 78235
Phone (210) 396-5285

2829 Babcock Rd
Ste 700
San Antonio, TX 78229
Phone (210) 396-5270

1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741

Interoperability endpoints

  • Direct secure messaging: crystal.esquibel.1@94.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1467083121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 RED OAK DR",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785665040",
            "telephone_number": "956-543-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 RED OAK DR",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785665040",
            "telephone_number": "956-543-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESQUIBEL",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "702381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Fresnos, TX

Sources for this page

Verify at the official NPI Registry.