Individual provider Active NPI

Monica Rae Kessler, PAC

  • Physician Assistant
  • Eagle Pass, TX
National Provider Identifier
1740379239
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04865 Issued in TX
Practice address
590 E Main St Ste a
Eagle Pass, TX 78852-4773
Phone
(830) 773-3331
Fax
(830) 773-2981
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04865 TX Primary
Emergency Medicine Physician 207P00000X PA04865 TX

Addresses

Primary practice location

590 E Main St Ste a
Eagle Pass, TX 78852-4773

Mailing address

590 E Main St Ste a
Eagle Pass, TX 78852-4773
Phone (830) 773-3331

Other practice location 1

301-A Hudspeth Avenue
Sonora, TX 76950
Phone (325) 387-6557

Other identifiers 1

IdentifierTypeStateIssuer
1W7230OtherTXPTAN

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
I20070228000229 TX Practitioner - Physician Assistant 9931201597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Carenow Urgent Care PLLCGroup PAC ID 3274808043, 71 clinicians

Practice addresses (Care Compare)

1347 E Court St
Seguin, TX 78155-5130
Phone (830) 443-9778

13909 Nacogdoches Rd
Suite 111
San Antonio, TX 78217-1296
Phone (210) 655-0100

14775 Interstate 35 N
Selma, TX 78154-3367
Phone (210) 428-2310

17122 Bulverde Rd
Suite 104
San Antonio, TX 78247-3211
Phone (210) 783-0170

20780 US Hwy 281 N
Carenow
San Antonio, TX 78258-7501
Phone (210) 963-8455

2951 Thousand Oaks Dr
San Antonio, TX 78247-5202
Phone (210) 494-2324

513 Cibolo Valley Dr
Suite 101
Cibolo, TX 78108-3676
Phone (210) 714-5600

5410 Broadway
San Antonio, TX 78209-5716
Phone (210) 998-6677

902 Kitty Hawk Rd
Suite 110
Universal City, TX 78148-3827
Phone (210) 659-0889

9234 N Loop 1604
Suite 110
San Antonio, TX 78249-2981
Phone (210) 257-0736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1740379239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E MAIN ST STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524773",
            "telephone_number": "830-773-3331",
            "fax_number": "830-773-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E MAIN ST STE A",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524773",
            "telephone_number": "830-773-3331",
            "fax_number": "830-773-2981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301-A Hudspeth Avenue",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "TX",
            "postal_code": "76950",
            "country_code": "US",
            "telephone_number": "325-387-6557",
            "fax_number": "325-387-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "MONICA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04865",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "PA04865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1W7230",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

Verify at the official NPI Registry.