Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathanael James Longacre

Individual provider Physician Assistant · NPI 1801406954

Nathanael James Longacre is a Physician Assistant in Odessa, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2021, 5 years ago. Practices with Mch Professional Care, a 51-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

519 N Lincoln Ave
Odessa, TX 79761-4429
Phone: (432) 640-6446
Fax: (432) 640-6493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA14987 (TX)

Record details

NPI number1801406954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 4, 2020
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice McH Professional Care — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Odessa