Individual provider Active NPI

Tate Christopher Rubley, PA

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1619298403
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06777 Issued in TX
Practice address
5899 Preston Rd Ste 901
Frisco, TX 75034-9593
Phone
(469) 353-2893
NPI assigned
Jun 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 PA06777 TX Primary

Addresses

Primary practice location

5899 Preston Rd Ste 901
Frisco, TX 75034-9593

Mailing address

5899 Preston Rd Ste 901
Frisco, TX 75034-9593
Phone (888) 902-1704

Other identifiers 3

IdentifierTypeStateIssuer
827N92OtherTXBCBS
P01231409OtherTXRAILROAD MEDICARE
218142201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101104001082 TX Practitioner - Physician Assistant 5799979696 Reassigns benefits to 4 organizations
I20260122003163 AK Practitioner - Physician Assistant 5799979696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

610 S Watters Rd
Suite 130
Allen, TX 75013-5008
Phone (469) 854-3263

768 Bandit TRL
Keller, TX 76248-0182
Phone (817) 865-3954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06777TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Geode Clinicians of Texas PLLC CurrentSince Sep 1, 2025 Accepting new patients
Palmer Pain and Headache LLC CurrentSince Nov 14, 2025 Accepting new patients

Locations

1901 N Hemmer Rd
Apt 111
Palmer, AK 99645
Phone (907) 745-8000

1150 S Colony Way
Ste 3
Palmer, AK 99645

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

5899 Preston Rd
Ste 901
Frisco, TX 75034
Phone (469) 253-5894

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: tate.rubley.1@25899.direct.athenahealth.com

Organizations & group practices 5

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1619298403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 901",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349593",
            "telephone_number": "888-902-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 901",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349593",
            "telephone_number": "469-353-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBLEY",
        "first_name": "TATE",
        "middle_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "827N92",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01231409",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218142201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.