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SOPHIA MARIN PA
NPI 1639809049
Physician Assistant in Grand Prairie, TX

Active since June 16, 2022PECOS Enrolled
2045 N HWY 360 # 100B, GRAND PRAIRIE, TX 75050(972) 623-1111 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sophia Marin Pa NPPES

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

SOPHIA MARIN PA (NPI 1639809049) is an individual physician assistant in Grand Prairie, Texas, licensed in Texas (PA16755) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639809049
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSOPHIA MARINCredential: PA
Location Address2045 N HWY 360 # 100BGrand Prairie, TX 75050-1403
Mailing Address1201 W University DrEdinburg, TX 78539-2909 · (956) 665-7049
Phone(972) 623-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 16, 2022
Last NPPES UpdateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1639809049 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 · PA16755
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.
2045 N HWY 360 # 100B, Grand Prairie, TX 75050
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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 (PECOS)

Sophia Marin Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355709007
PECOS Enrollment IDI20230628000807
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75050 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.

Other Providers at the Same Location NPPES 3

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

TIMOTHY CHIANG PT, DPT
Physical Therapist
2045 N HWY 360 # 100B
GRAND PRAIRIE, TX 75050
Dallas County (972) 623-1111
LUCAS ONDIMU PTA
Physical Therapy Assistant
2045 N HWY 360 # 100B
GRAND PRAIRIE, TX 75050
Dallas County (972) 623-1111
ALIA DUAMNI PTA
Physical Therapy Assistant
2045 N HWY 360 # 100B
GRAND PRAIRIE, TX 75050
Dallas County (972) 623-1111

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 Sophia Marin's NPI number?

The NPI number for Sophia Marin is 1639809049. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is Sophia Marin located?

Sophia Marin practices at 2045 N Hwy 360 # 100B, Grand Prairie, TX 75050. The listed phone number is (972) 623-1111.

What is Sophia Marin's specialty?

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

Is Sophia Marin enrolled in Medicare?

Yes. Sophia Marin is registered in the Medicare PECOS enrollment system.

What insurance does Sophia Marin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Sophia Marin 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 Sophia Marin was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.