ANGELIQUE A TIJERINA (PA) – Physician Assistant, NPI 1669523619

ANGELIQUE A TIJERINA (PA) is a healthcare provider. based in Shenandoah, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA04249 (TX). The NPI Number for ANGELIQUE A TIJERINA (PA) is 1669523619

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
ANGELIQUE A TIJERINA (PA)
NPI
1669523619
Phone
(281) 404-3000
Address
135 VISION PARK BLVD
Enumeration Date
16 January 2007
Last Update Date
26 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
0749386746
Group Practice PAC ID
4688999022
Professional Enrollment ID
I20070508000685
Address ID
TX774792649SU17510SXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for ANGELIQUE A TIJERINA (PA)

  • 135 VISION PARK BLVD

    SHENANDOAH, TX 773843001

    Phone: (281) 404-3000

    Fax: (936) 273-6911

    Type: Mailing

  • 6767, Lake Woodlands Drive, Sterling Ridge, The Woodlands, Montgomery County, Texas, 77382, United States

    SUITE A

    THE WOODLANDS, TX 773822566

    Phone: (281) 364-8001

    Fax: (281) 364-8004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $2,243.

Total Amount is formed as General ($2,243) + Research ($0) + Ownership ($0) = $2,243.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($246).

Total Amount

$2,243

General + Research + Ownership

Payments

92

Total payment records

General Amount

$2,243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2007-05-08

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
I20070508000685IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 77384)

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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: 4688999022View full group profile
NameSpecialtyState
-TX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
-TX
Physician AssistantTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Family Practice, Geriatric MedicineTX
-TX

Reviews

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Frequently asked questions

Is there an official ID for ANGELIQUE A TIJERINA (PA) in U.S. healthcare records?
The official identifier for ANGELIQUE A TIJERINA (PA) is NPI 1669523619.
Active or inactive — what applies to ANGELIQUE A TIJERINA (PA)?
You should see ANGELIQUE A TIJERINA (PA) as active in CMS-hosted NPPES data.
What clinical focus is listed for ANGELIQUE A TIJERINA (PA)?
At a glance, ANGELIQUE A TIJERINA (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is ANGELIQUE A TIJERINA (PA) registered?
Use Shenandoah, Texas as the headline location for ANGELIQUE A TIJERINA (PA) here.
Can I trust this NPI listing for ANGELIQUE A TIJERINA (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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