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AUDRA CANTRELL PA
NPI 1396088985
Physician Assistant in Fort Worth, TX

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
2405 W DREW ST, FORT WORTH, TX 76110(817) 733-2608 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, Jan 27, 2026, Oct 6, 2021 and 3 more (6 updates tracked since 2021).

About Audra Cantrell Pa NPPES

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

AUDRA CANTRELL PA (NPI 1396088985) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA08512) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1396088985
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUDRA CANTRELLCredential: PA
Location Address2405 W DREW STFort Worth, TX 76110-5915
Mailing Address5219 City Bank Pkwy Ste 35Lubbock, TX 79407-3545 · (806) 761-0334
Phone(817) 733-2608
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateMay 26, 20266 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1396088985 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 · PA08512
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.
2405 W DREW ST, Fort Worth, TX 76110
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Secondary Practice Location 1

Location 1602 Indiana AveLubbock, TX 79415-3364 · Phone (806) 775-9700

Accepted Insurance

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

Audra Cantrell Pa 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 ID2062656572
PECOS Enrollment IDI20130924000566
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.

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76110 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 Audra Cantrell's NPI number?

The NPI number for Audra Cantrell is 1396088985. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Audra Cantrell located?

Audra Cantrell practices at 2405 W Drew St, Fort Worth, TX 76110. The listed phone number is (817) 733-2608.

What is Audra Cantrell's specialty?

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

Is Audra Cantrell enrolled in Medicare?

Yes. Audra Cantrell 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 Audra Cantrell accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Audra Cantrell 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 Audra Cantrell affiliated with any hospitals?

According to CMS data, Audra Cantrell is affiliated with University Medical Center.

When was this NPI record last updated?

The NPPES record for Audra Cantrell was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.