Individual provider Active NPI

Barbara Monserrat Medina-Palacios, PA

  • Medical Physician Assistant
  • Breckenridge, TX
National Provider Identifier
1982980587
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
101 S Hartford St
Breckenridge, TX 76424-4711
Phone
(254) 559-3363
Fax
(254) 559-2572
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

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

Addresses

Primary practice location

101 S Hartford St
Breckenridge, TX 76424-4711

Mailing address

918 W Wheeler St
Breckenridge, TX 76424-4237
Phone (325) 370-8912

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
I20130507000004 TX Practitioner - Physician Assistant 1759528011 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephens Memorial Hospital District CurrentSince Sep 1, 2021 Accepting new patients
Stephens Memorial Hospital District CurrentSince Sep 1, 2021 Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

Interoperability endpoints

  • Direct secure messaging: barbara.medina.1@6815.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1982980587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W WHEELER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244237",
            "telephone_number": "325-370-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S HARTFORD ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244711",
            "telephone_number": "254-559-3363",
            "fax_number": "254-559-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA-PALACIOS",
        "first_name": "BARBARA",
        "middle_name": "MONSERRAT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, TX

Sources for this page

Verify at the official NPI Registry.