Individual provider Active NPI

Angelique A Tijerina, PA

  • Physician Assistant
  • Shenandoah, TX
National Provider Identifier
1669523619
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04249 Issued in TX
Practice address
135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone
(281) 404-3000
Fax
(936) 273-6911
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 PA04249 TX Primary

Addresses

Primary practice location

135 Vision Park Blvd
Shenandoah, TX 77384-3001

Mailing address

135 Vision Park Blvd
Shenandoah, TX 77384-3001
Phone (281) 404-3000

Other names 1

  • Mrs. Angelique Murillo 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
I20070508000685 TX Practitioner - Physician Assistant 0749386746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 250
The Woodlands, TX 77380-3477
Phone (281) 296-8788

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

8845 Six Pines Dr
Suite 203
Shenandoah, TX 77380-4296
Phone (281) 296-8788

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA04249TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Mar 1, 2025 Accepting new patients
Millennium Physicians Association PLLC CurrentSince Aug 27, 2024 Accepting new patients
North Houston Hospitalists PA CurrentSince Feb 17, 2026 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

506 Medical Center Blvd
Ste 100
Conroe, TX 77304
Phone (281) 569-2130

27700 NW Freeway
Ste 330
Cypress, TX 77433
Phone (281) 351-4911

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

800 Peakwood Dr
Ste 4C
Houston, TX 77090
Phone (281) 444-3181

20207 Chasewood Park Dr
Ste 201
Houston, TX 77070
Phone (281) 893-3831

22730 Professional Dr
Kingwood, TX 77339
Phone (281) 312-8545

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

8845 Six Pines Dr
Ste 203
Shenandoah, TX 77380

135 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 404-3000

8845 Six Pines Dr
Ste 202
Shenandoah, TX 77380

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

13426 Medical Complex Dr
Ste 175
Tomball, TX 77375

Interoperability endpoints

  • Direct secure messaging: angelique.tijerina.p1@direct.mphcc.nextgenshare.com
  • Direct secure messaging: angelique.tijerina.3@8042.direct.athenahealth.com

Organizations & group practices 7

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 7

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1669523619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-404-3000",
            "fax_number": "936-273-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-404-3000",
            "fax_number": "936-273-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "ANGELIQUE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "MURILLO",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.