MS. CECILY R MINTER (PA-C) – Physician Assistant, NPI 1104616564

MS. CECILY R MINTER (PA-C) is a healthcare provider. based in Houston, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA18943 (TX). The NPI Number for MS. CECILY R MINTER (PA-C) is 1104616564

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. CECILY R MINTER (PA-C)
NPI
1104616564
Phone
(713) 486-8000
Address
6400 FANNIN ST., STE 2070
Enumeration Date
8 May 2025
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7134867970
Graduation Year
2024 (2 years ago)
PAC ID
9537688536
Group Practice PAC ID
2961732193
Professional Enrollment ID
I20250522001829
Address ID
TX770896155HO11920BLVD305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. CECILY R MINTER (PA-C)

  • 6400 FANNIN ST., STE 2070

    HOUSTON, TX 770301541

    Phone: (713) 486-8000

    Fax: (713) 486-8088

    Type: Mailing

  • 6400 FANNIN ST., STE 2800

    HOUSTON, TX 770301521

    Phone: (713) 486-8000

    Fax: (713) 486-8088

    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: 2025-05-22

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
I20250522001829IPhysician 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 77030)

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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: 2961732193View full group profile
NameSpecialtyState
Neurosurgery, NeurologyTX
N E U R O L O G YTX
-TX
O P H T H A L M O L O G YMD
O P T O M E T R YTX
Clinical PsychologistTX
Nurse PractitionerTX
Neurology, Sleep MedicineTX
O P H T H A L M O L O G YMD
O P T O M E T R YTX

Reviews

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Frequently asked questions

Can I cross-check MS. CECILY R MINTER (PA-C) using NPI 1104616564?
NPI 1104616564 belongs to MS. CECILY R MINTER (PA-C); compare other details if you need extra assurance.
Is MS. CECILY R MINTER (PA-C) shown as active in public data?
Registry records indicate MS. CECILY R MINTER (PA-C) maintains an active NPI.
What clinical focus is listed for MS. CECILY R MINTER (PA-C)?
At a glance, MS. CECILY R MINTER (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is MS. CECILY R MINTER (PA-C) registered?
Use Houston, Texas as the headline location for MS. CECILY R MINTER (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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