Individual provider Active NPI

Lindsey Jane Qualls, PA-C

  • Physician Assistant
  • Pasadena, TX
National Provider Identifier
1982944039
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08011 Issued in TX
Practice address
4001 Preston Ave
Suite 110
Pasadena, TX 77505-2069
Phone
(281) 249-2273
NPI assigned
Feb 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 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 PA08011 TX Primary

Addresses

Primary practice location

4001 Preston Ave
Suite 110
Pasadena, TX 77505-2069

Mailing address

4001 Preston Ave
Suite 110
Pasadena, TX 77505-2069
Phone (281) 249-2273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LINDSEY.QUALLS@hca9.eclinicaldirectplus.com

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
I20130711000638 TX Practitioner - Physician Assistant 0143460337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aic Urgent Care. PLLCGroup PAC ID 5890956650, 16 clinicians

Practice addresses (Care Compare)

2600 FM 1764 Rd
Suite 190
La Marque, TX 77568-2826
Phone (281) 886-8964

3128 S Hwy 35
Alvin, TX 77511-4737
Phone 28188689649189

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lindsey.qualls@hca9.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1982944039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052069",
            "telephone_number": "281-249-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 PRESTON AVE",
            "address_2": "SUITE 110",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775052069",
            "telephone_number": "281-249-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "LINDSEY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LINDSEY.QUALLS@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4001 Preston Ave",
            "address_2": "SUITE 110",
            "city": "Pasadena",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775052069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.