Individual provider Active NPI

Rebecca D Molina, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1740474170
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05290 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-3100
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA05290 TX
Physician Assistant 363A00000X PA05290 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Other practice location 1

2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Other practice location 2

5001 S Hulen St
Fort Worth, TX 76132-1968
Phone (817) 361-1928

Other identifiers 1

IdentifierTypeStateIssuer
283900301MedicaidTX

Other names 1

  • Rebecca D Depalma Other 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
I20080125000108 TX Practitioner - Physician Assistant 1658453956 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

1501 Hwy 287 N
Mansfield, TX 76063-4855
Phone (817) 453-8080

345 N Hwy 67
Cedar Hill, TX 75104-2134
Phone (972) 956-5300

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

39769 Lyndon B Johnson Fwy
Dallas, TX 75237-3560
Phone (972) 780-0802

5405 S Cooper St
Arlington, TX 76017-6148
Phone (817) 465-4928

6320 Hwy 287
Suite 112
Arlington, TX 76001-2868
Phone (469) 299-5445

7400 N Macarthur Blvd
Irving, TX 75063-7508
Phone (469) 804-9295

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Texas, P.a. CurrentSince Mar 1, 2023 Accepting new patients
Medhealth CurrentSince Apr 1, 2019 Accepting new patients
Medhealth CurrentSince Apr 1, 2019 Accepting new patients
Cook Children'S Physician Network CurrentSince Aug 15, 2011 Accepting new patients
Medexpress Urgent Care Texas, P.a. CurrentSince Mar 1, 2023 Accepting new patients
Ellis Emergency Physicians PLLC Past Accepting new patients
Preferred Hospital Leasing Van Horn Inc Past Accepting new patients
Dallas Emergency Physicians PLLC Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

5001 S Hulen St
Fort Worth, TX 76132
Phone (817) 361-1928

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500

22915 Morton Ranch Rd
Katy, TX 77449
Phone (281) 574-0124

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

1305 N Highway 77
Waxahachie, TX 75165
Phone (972) 937-1203

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1740474170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 E BROAD ST STE 200",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639186",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 E Broad St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760639186",
            "country_code": "US",
            "telephone_number": "682-518-8619",
            "fax_number": "682-518-8195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5001 S Hulen St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761321968",
            "country_code": "US",
            "telephone_number": "817-361-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "REBECCA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05290",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283900301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DEPALMA",
            "middle_name": "D",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.