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AUTUMN MONTANA
NPI 1134857881
Physician Assistant in Denison, TX

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
5012 US HWY 75 STE 230, DENISON, TX 75020(469) 545-8300 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jun 10, 2025, Aug 10, 2022 (3 updates tracked since 2022).

About Autumn Montana NPPES

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

AUTUMN MONTANA (NPI 1134857881) is an individual physician assistant in Denison, Texas and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edinburg, and is a graduate of Univeristy Of Texas Rio Grande Valley Med School (2024).

NPPES Registry Identity

NPI1134857881
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUTUMN MONTANA
Location Address5012 US HWY 75 STE 230Denison, TX 75020-4634
Mailing Address1201 W University DrEdinburg, TX 78539-2909 · (956) 665-7049
Phone(469) 545-8300
Sole ProprietorNo
Medical School CMSUniveristy Of Texas Rio Grande Valley Med SchoolGraduated 2024
Enumeration DateAugust 10, 2022
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1134857881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5012 US HWY 75 STE 230, Denison, TX 75020
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Secondary Practice Location 1

Location 11201 W University DrEdinburg, TX 78539-2909 · Phone (956) 665-7049

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

Autumn Montana 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 ID749791861
PECOS Enrollment IDI20250616003346
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

XYR HEALTH PLLC
Otolaryngology
5012 US HWY 75 STE 230
DENISON, TX 75020
Grayson County (469) 252-3510
DR. CHRISTINA MARIE VILLAREAL AU.D.
Audiologist
5012 US HWY 75 STE 230
DENISON, TX 75020
Grayson County (469) 545-8300

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 Autumn Montana's NPI number?

The NPI number for Autumn Montana is 1134857881. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Autumn Montana located?

Autumn Montana practices at 5012 Us Hwy 75 Ste 230, Denison, TX 75020. The listed phone number is (469) 545-8300.

What is Autumn Montana's specialty?

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

Is Autumn Montana enrolled in Medicare?

Yes. Autumn Montana 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 Autumn Montana accept?

Health plans from Blue Cross and Blue Shield of Texas list Autumn Montana 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.

When was this NPI record last updated?

The NPPES record for Autumn Montana was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.