Individual provider Active NPI

Justin Lloyd Wendel

  • Physician Assistant
  • Harlingen, TX
National Provider Identifier
1649901505
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17049 Issued in TX
Practice address
1821 S Sesame SQ Ste 10
Harlingen, TX 78550-7941
Phone
(956) 212-9377
NPI assigned
Jun 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2023

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 PA17049 TX Primary

Addresses

Primary practice location

1821 S Sesame SQ Ste 10
Harlingen, TX 78550-7941

Mailing address

1821 S Sesame SQ Ste 10
Harlingen, TX 78550-7941
Phone (956) 212-9377

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
I20231226000135 TX Practitioner - Physician Assistant 6406206986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Inpatient Services PLLCGroup PAC ID 3678821469, 23 clinicians

Practice addresses (Care Compare)

1040 W Jefferson St
Brownsville, TX 78520-6338
Phone (956) 698-5400

2101 Pease St
Harlingen, TX 78550-8307
Phone (956) 389-2044

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (956) 365-1000

Hospital & facility affiliations

  • Harlingen Medical Center Hospital, Harlingen, TX, CCN 450855
  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033
  • Valley Baptist Medical Center- Brownsville Hospital, Brownsville, TX, CCN 450028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Hospitalists PLLC PastSince Oct 1, 2023 Accepting new patients

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.

Hospital & facility affiliations 3

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696118400000",
    "number": "1649901505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQ STE 10",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507941",
            "telephone_number": "956-212-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S SESAME SQ STE 10",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507941",
            "telephone_number": "956-212-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "JUSTIN",
        "middle_name": "LLOYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-10-01",
        "certification_date": "2023-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.