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

Roxana Nieto

Individual provider Medical Physician Assistant · NPI 1265083869

Roxana Nieto is a Physician Assistant in Odessa, Texas. Qualified in 2020, 6 years ago. Practices with Suresh Prasad MD PA, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2019

Practice location Address checks out

403 Pittsburg Ave
Odessa, TX 79761-5224
Phone: (432) 332-3400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14056 (TX)

Record details

NPI number1265083869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2019
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address403 Pittsburg Ave, Odessa, TX 79761-5224

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Suresh Prasad Md Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Odessa