Individual provider Active NPI

Santa Badeg Sisay

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1033857073
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021160672 Issued in TX
Practice address
4545 Fuller Dr Ste 325
Irving, TX 75038-6530
Phone
(972) 870-5511
Fax
(972) 870-5512
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1088909 TX
Family Nurse Practitioner 363LF0000X 2021160672 TX Primary

Addresses

Primary practice location

4545 Fuller Dr Ste 325
Irving, TX 75038-6530

Mailing address

1605 E Wells Branch Pkwy
Pflugerville, TX 78660-3993
Phone (571) 235-9932

Other practice location 1

1605 E Wells Branch Pkwy
Pflugerville, TX 78660-3993
Phone (571) 235-9932

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
I20230929003060 TX Practitioner - Nurse Practitioner 2668826223 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians
Ies Central Texas PLLCGroup PAC ID 3476922576, 33 clinicians
Level One Emergency Physicians LLCGroup PAC ID 7810371044, 29 clinicians

Practice addresses (Care Compare)

Irving, TX 75038
Phone (972) 870-5511

2710 W Hackberry LN
Anna, TX 75409-2573
Phone (214) 831-2600

5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4000

Hospital & facility affiliations

  • Amatus Health Care LLC Home health agency, Farmers Branch, TX, CCN 747682
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021160672TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physician Resources, LLP CurrentSince Nov 22, 2023 Accepting new patients
Level One Emergency Physicians LLC Nurse Practitioner CurrentSince Dec 15, 2023 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2025 Accepting new patients
Pediatric Emergency Medicine Group LLP CurrentSince Nov 22, 2023 Accepting new patients
Level One Emergency Specialists LLC Nurse Practitioner CurrentSince Dec 15, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

2710 W Hackberry Ln
Anna, TX 75409
Phone (214) 831-2600

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

4226 N US Highway 75
Sherman, TX 75090
Phone (903) 487-0857

Interoperability endpoints

  • Direct secure messaging: santa.sisay.1@32913.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1033857073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E WELLS BRANCH PKWY",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603993",
            "telephone_number": "571-235-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 FULLER DR STE 325",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386530",
            "telephone_number": "972-870-5511",
            "fax_number": "972-870-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 E Wells Branch Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786603993",
            "country_code": "US",
            "telephone_number": "571-235-9932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISAY",
        "first_name": "SANTA",
        "middle_name": "BADEG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1088909",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2021160672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.