NADIA QUINTANILLA (PHYSICIAN ASSISTANT) – Speech-Language Assistant, NPI 1003204983

NADIA QUINTANILLA (PHYSICIAN ASSISTANT) is a healthcare provider. based in El paso, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA12820 (TX). The NPI Number for NADIA QUINTANILLA (PHYSICIAN ASSISTANT) is 1003204983

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NADIA QUINTANILLA (PHYSICIAN ASSISTANT)
NPI
1003204983
Phone
(915) 562-7101
Address
1335 GERONIMO DR
Enumeration Date
31 December 2014
Last Update Date
1 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123362777
Graduation Year
2018 (8 years ago)
PAC ID
8022414960
Group Practice PAC ID
0244595478
Professional Enrollment ID
I20210901001708
Address ID
TX786134484CE345XXRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for NADIA QUINTANILLA (PHYSICIAN ASSISTANT)

  • 1335 GERONIMO DR

    EL PASO, TX 799251836

    Phone: (915) 562-7101

    Type: Mailing

  • 3601 BUDDY OWENS AVE STE 100

    MCALLEN, TX 785046447

    Phone: (956) 631-6200

    Fax: (956) 631-1117

    Type: Mailing

  • 6974 GATEWAY BLVD E

    EL PASO, TX 799151118

    Phone: (915) 774-8850

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-09-01

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
I20210901001708IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79925)

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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: 0244595478View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows NADIA QUINTANILLA (PHYSICIAN ASSISTANT) across health systems?
The NPI 1003204983 uniquely identifies NADIA QUINTANILLA (PHYSICIAN ASSISTANT) in U.S. healthcare data.
Does the public listing show NADIA QUINTANILLA (PHYSICIAN ASSISTANT) as active?
NADIA QUINTANILLA (PHYSICIAN ASSISTANT)'s NPI record reflects an active status in NPPES.
How should patients interpret NADIA QUINTANILLA (PHYSICIAN ASSISTANT)'s specialty?
The extract shows Speech-Language Assistant for NADIA QUINTANILLA (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to NADIA QUINTANILLA (PHYSICIAN ASSISTANT)?
NADIA QUINTANILLA (PHYSICIAN ASSISTANT) is associated with El Paso, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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