Individual provider Active NPI

Victoria Chang-Mishra, P.A.

  • Medical Physician Assistant
  • Plano, TX
National Provider Identifier
1043656325
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08044 Issued in TX
Practice address
801 E Plano Pkwy
Suite 140
Plano, TX 75074-6746
Phone
(469) 800-6230
Fax
(469) 800-6235
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08044 TX Primary

Addresses

Primary practice location

801 E Plano Pkwy
Suite 140
Plano, TX 75074-6746

Mailing address

801 E Plano Pkwy
Suite 140
Plano, TX 75074-6746
Phone (469) 800-6230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vchangmishra231259@direct.sw.org

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
I20141022002685 TX Practitioner - Physician Assistant 4082835723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

801 E Plano Pkwy
160 Baylor Scott and White Douglass Community
Plano, TX 75074-6797
Phone (469) 800-6230

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08044TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 12, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 12, 2016 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

712 N Washington Ave
Ste 415
Dallas, TX 75246
Phone (214) 820-9115

801 E Plano Pkwy
Ste 140
Plano, TX 75074
Phone (214) 587-1000

801 E Plano Pkwy
Ste 160
Plano, TX 75074
Phone (469) 800-6230

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: vchangmishra231259@direct.sw.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1043656325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E PLANO PKWY",
            "address_2": "SUITE 140",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746746",
            "telephone_number": "469-800-6230",
            "fax_number": "469-800-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E PLANO PKWY",
            "address_2": "SUITE 140",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746746",
            "telephone_number": "469-800-6230",
            "fax_number": "469-800-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG-MISHRA",
        "first_name": "VICTORIA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vchangmishra231259@direct.sw.org",
            "affiliation": "N",
            "address_1": "801 E Plano Pkwy",
            "address_2": "Suite 140",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750746746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.