Individual provider Active NPI

Dayanelie Reyes, PA-C

  • Physician Assistant
  • Odessa, TX
National Provider Identifier
1679074488
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11601 Issued in TX
Practice address
500 Adams Ave Ste 700
Odessa, TX 79761-4656
Phone
(432) 614-0285
Fax
(806) 803-9428
NPI assigned
Feb 27, 2018
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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 PA11601 TX Primary

Addresses

Primary practice location

500 Adams Ave Ste 700
Odessa, TX 79761-4656

Mailing address

500 Adams Ave Ste 700
Odessa, TX 79761-4656
Phone (432) 614-0285

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
I20180320001266 TX Practitioner - Physician Assistant 0840552477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Ross Gunter MD IncGroup PAC ID 0042108326, 13 clinicians

Practice addresses (Care Compare)

200 N Lutterloh Ave
Gatesville, TX 76528-1424
Phone (661) 949-0004

500 Adams Ave
Odessa, TX 79761-4656
Phone (432) 614-0285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA11601TXMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1679074488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ADAMS AVE STE 700",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614656",
            "telephone_number": "432-614-0285",
            "fax_number": "806-803-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ADAMS AVE STE 700",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614656",
            "telephone_number": "432-614-0285",
            "fax_number": "806-803-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "DAYANELIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.