● Active Type 1 · Individual

MS. Candice Roseanne Pellegrino, M.P.A.C., P.A.-C

Physician Assistant·Round Rock, TX· NPI 1922022938 · Enumerated 2006 · 19 years on NPI

Pellegrino is 1 of 29 physician assistant providers in Round Rock and 1 of 2220 in Texas.

NPI age

19 years

Enumerated 2006-07-26

Primary specialty

Physician Assistant

Plus 1 subspecialty

Licensed in

1 state

Status

Active

No deactivations on record

Last NPPES update

2024-05-22

Source: monthly bulk 2026-05

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age

19 years

↑ 4 yr above median (15 yr)

State licenses

1 state

6% of peers hold multiple states

Subspecialties

In the 20% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES

2006 2026

Where they practice

Practice location

302 University Blvd

Round Rock, TX 786651032

📞 5125090200

Mailing address

Po Box 844658

Dallas, TX 752844658

📞 2547248800

Additional practice locations

1 secondary location on file with NPPES.

Location 2

100 Medical Cir

Sulphur Springs, TX 754822138

📞 9034388330

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant

Physician Assistant Primary

Definition to come...

TX license #PA01105 taxonomy 363AM0700X
Physician Assistant

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...

TX license #PA01105 taxonomy 363A00000X

Identifiers

Type	Value	Notes
01 (TX)	1821185299	AGENCY (BVCAA, INC.) NPI

Practice context

Part of a multi-provider practice. 155 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.