MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1154410041

MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT) is a healthcare provider. based in Apo ap, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. The NPI Number for MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT) is 1154410041

Main info

Male
Sole Proprietor
28 Years Of Experience
Name
MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)
NPI
1154410041
Phone
(817) 217-9029
Address
PSC 450 BOX 412
Enumeration Date
11 October 2006
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3617491930
Graduation Year
1998 (28 years ago)
PAC ID
4385788017
Group Practice PAC ID
1759510985
Professional Enrollment ID
I20201016000693
Address ID
TX783734246PO600XXRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)

  • PSC 450 BOX 412

    APO AP, CA 96206

    Phone: (817) 217-9029

    Type: Mailing

  • 600 CUT OFF RD STE 14

    PORT ARANSAS, TX 783734246

    Phone: (361) 749-1930

    Fax: (361) 749-1933

    Type: Location

  • 2500, Yeager Street, Fort Worth, Tarrant County, Texas, 76112, United States

    FT WORTH, TX 761125052

    Phone: (814) 217-9029

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 127 Open Payments records for all available years, with a total value of $2,107.

Total Amount is formed as General ($2,107) + Research ($0) + Ownership ($0) = $2,107.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Lilly USA, LLC ($608).

Total Amount

$2,107

General + Research + Ownership

Payments

127

Total payment records

General Amount

$2,107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201016000693IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3300Injection, triamcinolone acetonide, preservative free, 1 mg3,76080$0
99214Established patient office or other outpatient visit, 30-39 minutes380179$0
87804Detection test by immunoassay with direct visual observation for influenza virus20683$0
99213Established patient office or other outpatient visit, 20-29 minutes177108$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)10786$0
View full utilization report →

Insurance plans in this area (ZIP 96206)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759510985View full group profile
NameSpecialtyState
Family Practice, General PracticeMN
Family PracticeTX

Reviews

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Frequently asked questions

How do payers reference MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)?
For MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT), use NPI 1154410041 as the unique 10-digit identifier.
Active or inactive — what applies to MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)?
You should see MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT) as active in CMS-hosted NPPES data.
What area of care is associated with MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)?
MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT)?
Directory geography for MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT) centers on Apo Ap, California.
When was this NPI issued?
Enumeration for MR. DANIEL JAMES BEQUILLARD (PHYSICIAN ASSISTANT) is noted as October 11, 2006 where the registry provides it.

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