Individual provider Active NPI

Marlee Lauren Goppert

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1013876259
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20215 Issued in TX
Practice address
4245 N Central Expy Ste 300
Dallas, TX 75205-4569
Phone
(972) 532-9968
NPI assigned
Jan 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA20215 TX Primary

Addresses

Primary practice location

4245 N Central Expy Ste 300
Dallas, TX 75205-4569

Mailing address

3925 Siena Dr
Frisco, TX 75033-7103
Phone (214) 995-7831

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260601003506 TX Practitioner - Physician Assistant 6800366782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bent Tree Psychiatric AssocGroup PAC ID 9739124561, 43 clinicians

Practice addresses (Care Compare)

4245 N Central Expy
Suite 300
Dallas, TX 75205-4569
Phone (972) 532-9968

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20215TXMDMedical Physician Assistant

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1013876259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SIENA DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750337103",
            "telephone_number": "214-995-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054569",
            "telephone_number": "972-532-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPPERT",
        "first_name": "MARLEE",
        "middle_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA20215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.