Individual provider Active NPI

Brenda H Anderle, PA

  • Physician Assistant
  • Gainesville, TX
National Provider Identifier
1982627741
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00558 Issued in TX
Practice address
1615 Hospital Blvd Ste a
Gainesville, TX 76240-2032
Phone
(940) 641-3440
Fax
(940) 641-3553
NPI assigned
Jul 25, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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 PA00558 TX Primary

Addresses

Primary practice location

1615 Hospital Blvd Ste a
Gainesville, TX 76240-2032

Mailing address

1615 Hospital Blvd Ste a
Gainesville, TX 76240-2032
Phone (940) 641-3440

Other practice location 1

110 E Pecan St
Gainesville, TX 76240-4812
Phone (940) 284-3884

Other practice location 2

800 W Highway 82
Gainesville, TX 76240-2524
Phone (580) 223-8614

Other identifiers 3

IdentifierTypeStateIssuer
8N8630OtherTXBLUECROSS BLUESHIELD
298439501MedicaidTX
1346542115OtherGROUP NPI NUMBER

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
I20050210000772 TX Practitioner - Physician Assistant 1153373899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2024 W Hwy 82
Gainesville, TX 76240-2051
Phone (940) 641-3440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.27 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
34.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA00558TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
R & R Networks Inc Past Accepting new patients
Republic Emergency Services PA Physician Assistant Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1982627741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL BLVD STE A",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402032",
            "telephone_number": "940-641-3440",
            "fax_number": "940-641-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL BLVD STE A",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402032",
            "telephone_number": "940-641-3440",
            "fax_number": "940-641-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Pecan St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762404812",
            "country_code": "US",
            "telephone_number": "940-284-3884",
            "fax_number": "940-536-0650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Highway 82",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402524",
            "country_code": "US",
            "telephone_number": "580-223-8614",
            "fax_number": "580-223-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERLE",
        "first_name": "BRENDA",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "8N8630",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298439501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1346542115",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.