MISS LISA DOLORES LONGORIA PA-C
NPI 1487876496
Physician Assistant in Mcallen, TX

Q: What is Lisa Longoria's NPI number?

The NPI number for Lisa Longoria is 1487876496. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Q: What is Lisa Longoria's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Longoria was last updated on June 5, 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.

Active since May 02, 2007PECOS EnrolledAccepts Medicare Assignment

1100 E DOVE AVE STE 202, MCALLEN, TX 78504(956) 362-2410(956) 362-2414 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Feb 24, 2025 (2 updates tracked since 2025).

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About Miss Lisa Dolores Longoria Pa-c NPPES

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

MISS LISA DOLORES LONGORIA PA-C (NPI 1487876496) is an individual physician assistant in Mcallen, Texas, licensed in Texas (PA04548) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Doctors Hosptal At Renaissance, and maintains a secondary practice location in Weslaco.

NPPES Registry Identity

NPI1487876496

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS LISA DOLORES LONGORIACredential: PA-C

Location Address1100 E DOVE AVE STE 202Mcallen, TX 78504-4681

Mailing AddressPo Box 749Pharr, TX 78577-1614 · (956) 362-2410 · Fax (956) 362-2414

Phone(956) 362-2410

Fax(956) 362-2414

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 2, 2007

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1487876496 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 · PA04548

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.

1100 E DOVE AVE STE 202, Mcallen, TX 78504

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Secondary Practice Location 1

Location 1505 Angelita Dr, Suite 18 & 19Weslaco, TX 78596-4331 · Phone (956) 447-3852 · Fax (956) 969-1251

Other Identifiers 1

OtherPA04548TX · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Miss Lisa Dolores Longoria 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 ID3375631872

PECOS Enrollment IDI20071116000467

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.

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipPhysician

CMS Certification Number450869

Location5501 South MccollEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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 6

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

MR. RICK NOEL M CENTENO JR.

Nurse Practitioner (Gerontology)