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SIERRA TEDESCO PA-C
NPI 1114391208
Physician Assistant in Irving, TX

Active since November 30, 2015PECOS EnrolledAccepts Medicare Assignment
2001 N MACARTHUR BOULEVARD, MEDICAL OFFICE BUILDING 1, SUITE 425, IRVING, TX 75061(469) 800-1330 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2025, Oct 23, 2020, Nov 30, 2015 (3 updates tracked since 2015).

About Sierra Tedesco Pa-c NPPES

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

SIERRA TEDESCO PA-C (NPI 1114391208) is an individual physician assistant in Irving, Texas, licensed in Texas (PA10313) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1114391208
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSIERRA TEDESCOCredential: PA-C
Location Address2001 N MACARTHUR BOULEVARD, MEDICAL OFFICE BUILDING 1, SUITE 425Irving, TX 75061
Mailing Address713 Scottish Mist TrlHighland Village, TX 75077-7027 · (806) 928-9974 · Fax (806) 928-9974
Phone(469) 800-1330
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 30, 2015
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1114391208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10313
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2001 N MACARTHUR BOULEVARD, Irving, TX 75061
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Other Names 1

Former Name (1)Sierra Stull

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.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

Sierra Tedesco Pa-c 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 ID7214231943
PECOS Enrollment IDI20160201001646
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sierra Tedesco's NPI number?

The NPI number for Sierra Tedesco is 1114391208. It was assigned to this individual provider in the NPPES registry on November 30, 2015. The provider is also known as Sierra Stull.

Where is Sierra Tedesco located?

Sierra Tedesco practices at 2001 N Macarthur Boulevard Medical Office Building 1, Suite 425, Irving, TX 75061. The listed phone number is (469) 800-1330.

What is Sierra Tedesco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sierra Tedesco enrolled in Medicare?

Yes. Sierra Tedesco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sierra Tedesco accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Sierra Tedesco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sierra Tedesco affiliated with any hospitals?

According to CMS data, Sierra Tedesco is affiliated with Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Sierra Tedesco was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.