NPIMap

Individual provider Active NPI

Rylan Rashaun Reese

  • Physician Assistant
  • Electra, TX
National Provider Identifier
1578282893
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1207 S Bailey St
Electra, TX 76360-3221
Phone
(940) 495-3981
NPI assigned
Aug 22, 2022
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 Primary

Addresses

Primary practice location

1207 S Bailey St
Electra, TX 76360-3221

Mailing address

1207 S Bailey St
Electra, TX 76360-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127003504 TX Practitioner - Physician Assistant 9739614264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Electra Hospital DistrictGroup PAC ID 6507769494, 8 clinicians

Practice addresses (Care Compare)

1207 S Bailey St
Electra, TX 76360-3221
Phone (940) 495-3981

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Electra Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Electra Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Electra Hospital District Current Accepting new patients

Locations

1207 S Bailey St
Electra, TX 76360
Phone (940) 495-3981

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1578282893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S BAILEY ST",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603221",
            "telephone_number": "940-495-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "RYLAN",
        "middle_name": "RASHAUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Electra, TX

Sources for this page

Verify at the official NPI Registry.