Individual provider Active NPI

Laura M Feller, PA

  • Physician Assistant
  • Kerrville, TX
National Provider Identifier
1871726554
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06242 Issued in TX
Practice address
130 W Main St
Kerrville, TX 78028-5270
Phone
(830) 258-7669
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 PA06242 TX Primary

Addresses

Primary practice location

130 W Main St
Kerrville, TX 78028-5270

Mailing address

575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024

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
I20091028000831 TX Practitioner - Physician Assistant 0042357709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Urgent Care LLCGroup PAC ID 4880079011, 8 clinicians

Practice addresses (Care Compare)

130 W Main St
Kerrville, TX 78028-5270
Phone (830) 258-7669

Hospital & facility affiliations

  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06242TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater San Antonio Emergency Physicians, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: laura.feller.1@21041.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1871726554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR STE 101",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285270",
            "telephone_number": "830-258-7669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLER",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.