Jacquelyn Andrea Coates, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04397 Issued in TX

Practice address

601 Texan Trail
Ste. 300
Corpus Christi, TX 78411-2549

Phone

(361) 854-0811

Fax

(361) 806-5040

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jacquelyn Andrea Cantu Former name

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians

Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

Orthopedic Associates of Corpus ChristiGroup PAC ID 3274520242, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corpus Christi Medical Center,the Hospital, Corpus Christi, TX, CCN 450788

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelyn.coates.1@15288.direct.athenahealth.com
• Direct secure messaging: jacquelyn.coates.2@15288.direct.athenahealth.com

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.

• Orthopedic Associates of Corpus Christi

  dba South Texas Bone and Joint

  • Orthopaedic Surgery Physician
  • Corpus Christi, TX
  • NPI 1235170283
  Medicare reassignment Care Compare group NPD
• Urgent Specialty Associates of Texas, PLLC

  • Surgical Critical Care Physician
  • Kingwood, TX
  • NPI 1790350445
  Medicare reassignment Care Compare group
• Shea Physical Therapy Specialists LLC

  dba Shea Physical Therapy and Hand Therapy Services of Corpus Christi

  • Rehabilitation Clinic/Center
  • Corpus Christi, TX
  • NPI 1427634245
  Care Compare group
• Orthopedic Associates of Corpus Christi

  dba Corpus Christi MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corpus Christi, TX
  • NPI 1710090089
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bay Area Healthcare Group, LTD.

  dba Corpus Christi Medical Center

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1508810573
  Care Compare affiliation

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1730164617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRAIL",
            "address_2": "STE. 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRAIL",
            "address_2": "STE. 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES",
        "first_name": "JACQUELYN",
        "middle_name": "ANDREA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "CANTU",
            "middle_name": "ANDREA",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coastal Plains Hospital, LP
• Coastal Plains Hospital, LP
• Coastal Wellness, LLC
• Coastline Ambulance Service LLC (Coastline Ambulance Service)
• Coastline Ambulance Service, LLC (Coastline Ambulance)
• Mark Andrew Coates, P.A.
• Maria Izzabella Coats
• Laura Nell Cobb, LCSW
• Megan Suzanne Cobb, FNP
• Veronica Marie Cobb, OD

• Surgical Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.