Individual provider Active NPI

Rosa Maria De la Cerda-Blanc, PA-C

  • Physician Assistant
  • Mount Pleasant, TX
National Provider Identifier
1609673094
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18750 Issued in TX
Practice address
2001 N Jefferson Ave Ste 204
Mt Pleasant, TX 75455-2392
Phone
(903) 577-6606
Fax
(903) 577-6245
NPI assigned
Feb 25, 2025
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 PA18750 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave Ste 204
Mt Pleasant, TX 75455-2392

Mailing address

PO Box 2731
Eagle Pass, TX 78853-2731

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
I20250327002145 TX Practitioner - Physician Assistant 3072036391 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
Telehealth
Offers telehealth services
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2310

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Titus County Hospital District CurrentSince Apr 1, 2025 Accepting new patients
Titus County Hospital District PastSince May 1, 2020 Accepting new patients

Locations

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2001 N Jefferson Ave
Ste 204
Mt Pleasant, TX 75455
Phone (903) 577-6606

2001 N Jefferson Ave
Ste 204A
Mt Pleasant, TX 75455
Phone (903) 577-2273

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 2

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1609673094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2731",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788532731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 204",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552392",
            "telephone_number": "903-577-6606",
            "fax_number": "903-577-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CERDA-BLANC",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.