Individual provider Active NPI

Teegan Michaiah Tree, PA-C

  • Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1588338602
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14682 Issued in TX
Practice address
479 Oxford Dr Ste 104
New Braunfels, TX 78130-7423
Phone
(830) 625-3481
Fax
(830) 609-1997
NPI assigned
Aug 3, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14682 TX Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

479 Oxford Dr Ste 104
New Braunfels, TX 78130-7423

Mailing address

479 Oxford Dr Ste 104
New Braunfels, TX 78130-7423
Phone (830) 214-0300

Other names 1

  • Teegan Michaiah Luckemeyer 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
I20210811004561 TX Practitioner - Physician Assistant 8820492937 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14682TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: tluckemeyer411389@christushealth.direct-ci.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1588338602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OXFORD DR STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307423",
            "telephone_number": "830-214-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OXFORD DR STE 104",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307423",
            "telephone_number": "830-625-3481",
            "fax_number": "830-609-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREE",
        "first_name": "TEEGAN",
        "middle_name": "MICHAIAH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14682",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEEGAN",
            "last_name": "LUCKEMEYER",
            "middle_name": "MICHAIAH",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.