Carty-Anna Patrice, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04923 Issued in TX

Practice address

12201 Montwood Dr
El Paso, TX 79938-2620

Phone

(915) 320-7809

Fax

(915) 598-3946

NPI assigned

Aug 3, 2006

Last updated

Oct 3, 2024By the provider in NPPES

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 identifiers 1

Other names 1

• Carty-Anna Patrice-Momoh Other 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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VMD Primary Providers of West Texas PLLCGroup PAC ID 7810327384, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: carty.patrice.1@13711.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.

• VMD Primary Providers of West Texas PLLC

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1619503026
  Medicare reassignment Care Compare group
• Diagnostic Pro Imaging

  • Diagnostic Radiology Physician
  • El Paso, TX
  • NPI 1346777190
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1851309371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MONTWOOD DR BLDG A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382620",
            "telephone_number": "915-320-7809",
            "fax_number": "915-598-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MONTWOOD DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382620",
            "telephone_number": "915-320-7809",
            "fax_number": "915-598-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICE",
        "first_name": "CARTY-ANNA",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA04293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARTY-ANNA",
            "last_name": "PATRICE-MOMOH",
            "credential": "P.A.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.