Active NPI
Marlen Vanessa Piersall, PA-C
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12506
- Practice address
- 1801 Inwood Rd
Dallas, TX 75235-7202 - Phone
- (214) 654-2900
- NPI assigned
- Sep 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA20160088 | NM | |
| Physician Assistant | 363A00000X | PA12506 | TX | Primary |
Addresses
Primary practice location
1801 Inwood Rd
Dallas, TX 75235-7202
Mailing address
1801 Inwood Rd
Dallas, TX 75235-7202
Other names 1
- Marlen Vanessa Maldonado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Texas Southwestern Medical School at Dallas, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12400 Dallas Pkwy
Frisco, TX 75033-4224
Phone (469) 604-9000
1801 Inwood Rd
Dallas, TX 75235-7202
2201 Inwood Rd
Dallas, TX 75235-7320
Phone (214) 645-2700
3621 22ND St
Suite 400
Lubbock, TX 79410-1302
Phone (806) 791-8484
5939 Harry Hines Blvd
Dallas, TX 75390-0001
Phone (214) 645-0624
6202 Harry Hines Blvd
Dallas, TX 75390-0001
Phone (214) 645-4673
6303 Harry Hines
Suite 302
Dallas, TX 75390-0001
Phone (214) 645-0624
Hospital & facility affiliations
- Texas Health Hospital Frisco
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20160088 | NM | MD | Physician Assistant |
| PA12506 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
1801 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2035
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Surgery Physician
- Dallas, TX
- NPI 1578533196
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1104381292
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715472000000",
"number": "1003365602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 INWOOD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 INWOOD RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357202",
"telephone_number": "214-654-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERSALL",
"first_name": "MARLEN",
"middle_name": "VANESSA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2024-05-12",
"certification_date": "2024-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NM",
"license": "PA20160088",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLEN",
"last_name": "MALDONADO",
"middle_name": "VANESSA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.