Individual provider Active NPI

Andrew Michael McNeely, PA

  • Physician Assistant
  • Denton, TX
National Provider Identifier
1801225032
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08754 Issued in TX
Practice address
3537 S Interstate 35
Suite 320
Denton, TX 76210-6870
Phone
(214) 666-6259
Fax
(855) 618-2235
NPI assigned
Nov 7, 2013
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 PA08754 TX Primary

Addresses

Primary practice location

3537 S Interstate 35
Suite 320
Denton, TX 76210-6870

Mailing address

8195 Custer Rd Ste 110
Frisco, TX 75035-3195
Phone (214) 666-6259

Other identifiers 2

IdentifierTypeStateIssuer
330456001MedicaidTX
335734YLALOtherTXMEDICARE

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
I20140319000607 TX Practitioner - Physician Assistant 5799916664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

306 N Loop
288 Suite 200
Denton, TX 76209-4958
Phone (940) 381-1501

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA08754TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of North Texas, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Health Services of North Texas, Inc. CurrentSince Aug 18, 2025 Accepting new patients
Health Services of North Texas, Inc. Past Accepting new patients
Health Services of North Texas, Inc. Past Accepting new patients

Locations

306 N Loop 288
Ste 200
Denton, TX 76209

3537 S Interstate 35 E
Ste 210
Denton, TX 76210
Phone (940) 381-2313

4304 Mesa Dr
Denton, TX 76207
Phone (502) 724-6044

4401 N Interstate 35
Unit 312
Denton, TX 76207

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1801225032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 CUSTER RD STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750353195",
            "telephone_number": "214-666-6259",
            "fax_number": "855-618-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 S INTERSTATE 35",
            "address_2": "SUITE 320",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106870",
            "telephone_number": "214-666-6259",
            "fax_number": "855-618-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330456001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "335734YLAL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.