Autumn Postell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA05970 Issued in TX

Practice address

211 Glenn Oaks Dr
Boerne, TX 78006-5609

Phone

(210) 834-2098

NPI assigned

Jun 30, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Victoria Emergency Partners LLC

  • Emergency Medicine Physician
  • Gonzales, TX
  • NPI 1164770996
  Medicare reassignment

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1881905321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 GLENN OAKS DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065609",
            "telephone_number": "210-834-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 GLENN OAKS DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065609",
            "telephone_number": "210-834-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTELL",
        "first_name": "AUTUMN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Platnick, OT
• Olivia Polk, RBT
• Grace Pomager, RN
• Gerardo Ponce
• Mitchell W Ponsford, DMD
• Sue A Potter
• Kiley M Pradon, DPT
• Premier Boerne Dental, PLLC
• Premier Physical Therapy & Wellness, LLC
• Premium Pharma, LLC

• Physician Assistant in Boerne, TX
• Providers in Boerne, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.