Individual provider Active NPI

Cindy M Mehlhaff, PA

  • Physician Assistant
  • Decatur, TX
National Provider Identifier
1922289222
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00495 Issued in TX
Practice address
2014 Ben Merritt Dr Ste A2
Decatur, TX 76234-3851
Phone
(940) 626-0052
Fax
(940) 626-0082
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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 PA00495 TX Primary

Addresses

Primary practice location

2014 Ben Merritt Dr Ste A2
Decatur, TX 76234-3851

Mailing address

2014 Ben Merritt Dr Ste A2
Decatur, TX 76234-3851
Phone (940) 626-0052

Other identifiers 1

IdentifierTypeStateIssuer
PA00495OtherTXONE USER.,PA

Other names 1

  • Mrs. Cindy M Mehlhaff Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00495TXMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1922289222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 BEN MERRITT DR STE A2",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343851",
            "telephone_number": "940-626-0052",
            "fax_number": "940-626-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 BEN MERRITT DR STE A2",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343851",
            "telephone_number": "940-626-0052",
            "fax_number": "940-626-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLHAFF",
        "first_name": "CINDY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE USER.,PA",
            "identifier": "PA00495",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MEHLHAFF",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.