Individual provider Active NPI

Marisa Christina Paez, PA-C

  • Physician Assistant
  • Harlingen, TX
National Provider Identifier
1659775237
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08450 Issued in TX
Practice address
1401 S Rangerville Rd
Harlingen, TX 78552-7638
Phone
(956) 364-8412
Fax
(956) 364-8497
NPI assigned
Oct 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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 PA08450 TX Primary

Addresses

Primary practice location

1401 S Rangerville Rd
Harlingen, TX 78552-7638

Mailing address

1401 S Rangerville Rd
Harlingen, TX 78552-7638
Phone (956) 364-8412

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
I20150121002203 TX Practitioner - Physician Assistant 0547584500 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
Group practices
Health and Human Services CommissionGroup PAC ID 2163795824, 138 clinicians

Practice addresses (Care Compare)

1401 S Rangerville Rd
Harlingen, TX 78552-7638

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Health and Human Services Commission Physician Assistant CurrentSince Sep 1, 2017 Accepting new patients

Locations

1401 S Rangerville Rd
Harlingen, TX 78552
Phone (956) 364-8000

1401 S Rangerville Rd
#R
Harlingen, TX 78552
Phone (956) 364-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1659775237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8412",
            "fax_number": "956-364-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S RANGERVILLE RD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785527638",
            "telephone_number": "956-364-8412",
            "fax_number": "956-364-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAEZ",
        "first_name": "MARISA",
        "middle_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.