Individual provider Active NPI

Audrey Helen Reyenga, P.A.

  • Medical Physician Assistant
  • Beaumont, TX
National Provider Identifier
1972833085
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3460 N. Dowlen Rd
Beaumont, TX 77706-1690
Phone
(409) 838-0346
Fax
(409) 839-3710
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA06635 TX
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3460 N. Dowlen Rd
Beaumont, TX 77706-1690

Mailing address

3460 N. Dowlen Rd
Beaumont, TX 77706-1690
Phone (409) 838-0346

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
I20100322000609 TX Practitioner - Physician Assistant 2365577962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Bone and Joint Institute PAGroup PAC ID 1951323385, 20 clinicians

Practice addresses (Care Compare)

3460 Dowlen Rd
Beaumont, TX 77706-7222
Phone (409) 838-0346

Hospital & facility affiliations

  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Merit-based Incentive Payment System (MIPS)

Final score
78.31 of 100Reported as group
Quality
74.88
Improvement activities
40
Cost
73.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA06635TXMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: audreyreyenga@bbj.allscriptsdirect.net

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 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": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1972833085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 N. DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777061690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 N. DOWLEN RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777061690",
            "telephone_number": "409-838-0346",
            "fax_number": "409-839-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYENGA",
        "first_name": "AUDREY",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06635",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.