ROSSALYA ARACELY GRANDA GUTIERREZ
NPI 1053957910
Physician Assistant - Medical in Flower Mound, TX

Q: What is Rossalya Granda Gutierrez's NPI number?

The NPI number for Rossalya Granda Gutierrez is 1053957910. It was assigned to this individual provider in the NPPES registry on November 25, 2019.

Q: What is Rossalya Granda Gutierrez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since November 25, 2019PECOS EnrolledAccepts Medicare Assignment

3101 CHURCHILL DR STE 100, FLOWER MOUND, TX 75022(210) 582-5304(210) 582-5307 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, Mar 25, 2021, Nov 25, 2019 (3 updates tracked since 2019).

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About Rossalya Aracely Granda Gutierrez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSSALYA ARACELY GRANDA GUTIERREZ (NPI 1053957910) is an individual medical provider in Flower Mound, Texas, licensed in Texas (PA13107) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053957910

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameROSSALYA ARACELY GRANDA GUTIERREZ

Location Address3101 CHURCHILL DR STE 100Flower Mound, TX 75022-2717

Mailing Address935 Spring Valley PlzRichardson, TX 75080-6727

Phone(210) 582-5304

Fax(210) 582-5307

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 25, 2019

Last NPPES UpdateAugust 3, 20233 updates tracked since enumeration

NPPES CertifiedAugust 3, 2023

✔ NPI 1053957910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA13107

Also ListedPhysician AssistantTaxonomy 363A00000X

3101 CHURCHILL DR STE 100, Flower Mound, TX 75022

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rossalya Aracely Granda Gutierrez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335574938

PECOS Enrollment IDI20200108001100

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

24 services12 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA WALLACE APRN

Nurse Practitioner (Family)