Individual provider Active NPI

Pricilla Lee Orta, PA-C

  • Physician Assistant
  • Rio Grande City, TX
National Provider Identifier
1679928824
Registry record updated Mar 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2768 Pharmacy Rd
Rio Grande City, TX 78582-6201
Phone
(956) 487-5621
Fax
(956) 487-5862
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2018

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 TX Primary

Addresses

Primary practice location

2768 Pharmacy Rd
Rio Grande City, TX 78582-6201

Mailing address

2768 Pharmacy Rd
Rio Grande City, TX 78582-6201
Phone (956) 487-5621

Other identifiers 1

IdentifierTypeStateIssuer
1750304846MedicaidTX

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
I20171221000215 TX Practitioner - Physician Assistant 2466710462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Center LLPGroup PAC ID 3476522012, 8 clinicians

Practice addresses (Care Compare)

2768 Pharmacy Rd
Rio Grande City, TX 78582-6201
Phone (956) 487-5621

Hospital & facility affiliations

  • With Open Arms Healthcare LLC Home health agency, McAllen, TX, CCN 677981
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Starr County Memorial Hospital Hospital, Rio Grande City, TX, CCN 450654

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Josegauri PA PastSince Nov 28, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pricilla.orta.1@32458.direct.athenahealth.com

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 6

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": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1679928824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826201",
            "telephone_number": "956-487-5621",
            "fax_number": "956-487-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2768 PHARMACY RD",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826201",
            "telephone_number": "956-487-5621",
            "fax_number": "956-487-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTA",
        "first_name": "PRICILLA",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750304846",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.