NPPES file of Aug 9, 2026

Larissa K. Ramirez, PAC

Physician Assistant · Marble Falls, TX

Larissa K. Ramirez, PAC is a physician assistant with a practice address in Marble Falls, Texas, and NPI 1912947896, issued on Jun 7, 2006. Check the license (Texas PA4359, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1912947896
Name
Larissa K. Ramirez
Credential
PAC
Primary taxonomy
Physician Assistant 363A00000X
License number
PA4359 TX
Self-reported in NPPES; status is on the state search
Practice location
800 W Highway 71, Marble Falls, TX 78654
Phone
(281) 364-8001
Enumerated
Jun 7, 2006
Record last updated
Mar 22, 2022
Fax
(281) 364-8004
Medicare enrollment
Enrolled (PECOS I20050815001022); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 800 W Highway 71

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Prashanth Adapala, M.D.Hematology & Oncology Physician1740484336
  2. Muhannad Al Hanayneh, M.D.Gastroenterology Physician1417203803
  3. Robert Anthony, M.D.Obstetrics & Gynecology Physician1598892309
  4. Mercedes Banigan, PAPhysician Assistant1952515926
  5. Candice Black, AGACNPAcute Care Nurse Practitioner1902201635
  6. Jennifer Bliss, M.D.Obstetrics & Gynecology Physician1801182415

Verify Larissa K. Ramirez in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Texas board licenses this profession
    Search for license PA4359
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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61% more Medicare Part D claims than the average physician assistant in 2024

1,339 Medicare Part D claims for 646 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 44 claims were for opioids.

  1. Larissa Ramirez1,339
  2. Specialty average830

Most prescribed

  1. Prednisone164 claims
  2. Amoxicillin-Clavulanate Potass112 claims
  3. Cefuroxime83 claims
  4. Methylprednisolone80 claims
  5. Ipratropium Bromide79 claims
  6. Cefdinir67 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Scott And White ClinicTemple, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Larissa K. Ramirez among 10,999 physician assistant records in Texas

Larissa K. Ramirez, PAC is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.

  • NPI issued2006 · 3% of these records are older, 86% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2004 · median 2017 among the 6,096 with a school on file
  • Record last updated2022 · 40% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 physician assistant records list a practice address in Marble Falls

They are 9 of the 354 NPPES records with a practice address in Marble Falls, and 10,999 physician assistant records in Texas.

The 8 physician assistant records with the nearest ZIP codes

  1. Mercedes Banigan, PAMarble Falls, TX 786541952515926
  2. Hanna Coyle, PA-CMarble Falls, TX 786541386016657
  3. Kristin Kutac, P.A.-C.Marble Falls, TX 786541891162020
  4. Gregg Mercier, PACMarble Falls, TX 786541497737076
  5. Shelbi Miller, PA-CMarble Falls, TX 786541962185728
  6. Fred Moore, PA-CMarble Falls, TX 786541467542282
  7. Kelly NeilsonGranite Shoals, TX 786541457220592
  8. Debra Smith, PHYSICIAN ASSISTANTMarble Falls, TX 786541790838266

Common questions

What is Larissa K. Ramirez, PAC's NPI number?

Larissa K. Ramirez, PAC's National Provider Identifier (NPI) is 1912947896, issued on Jun 7, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Larissa K. Ramirez, PAC located?

The NPPES record lists a practice address at 800 W Highway 71, Marble Falls, TX, 78654. Phone: (281) 364-8001. Providers update this record themselves, so call before visiting.

How can I verify Larissa K. Ramirez, PAC's license?

NPPES lists Texas license number PA4359, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.

How much does Larissa K. Ramirez, PAC prescribe under Medicare Part D?

In 2024, Larissa K. Ramirez, PAC had 1,339 Medicare Part D claims for 646 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.