Individual provider Active NPI

Brittany Morgan Zipperlen, PA-C

  • Physician Assistant
  • Waco, TX
National Provider Identifier
1093165318
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13057 Issued in TX
Practice address
5400 Crosslake Pkwy
Waco, TX 76712-6513
Phone
(254) 420-2336
NPI assigned
Jun 17, 2016
Last updated
Sep 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2033 NE
Physician Assistant 363A00000X PA13057 TX Primary

Addresses

Primary practice location

5400 Crosslake Pkwy
Waco, TX 76712-6513

Mailing address

5424 Lake Highlands Dr
Waco, TX 76710-2820

Other practice location 1

900 Austin Ave
Waco, TX 76701-1902
Phone (254) 537-9452

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
I20191114000562 TX Practitioner - Physician Assistant 6103117767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Legacy Urgent Care PAGroup PAC ID 3072679828, 157 clinicians

Practice addresses (Care Compare)

9205 Legacy Dr
Frisco, TX 75033-6750
Phone (972) 625-6020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2033NEMDPhysician Assistant
PA13057TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier ER Plus - Temple, LLC Past Accepting new patients
Frisco Emergency Medicine Associates, PA Past Accepting new patients
Alegent Creighton Clinic Physician Assistant Past Accepting new patients
St. David's Carenow Urgent Care PLLC Past Accepting new patients
Premier ER Plus - Waco, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brittany.zipperlen@190947594207236.direct.elationemr.com

Organizations & group practices 7

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1093165318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 LAKE HIGHLANDS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CROSSLAKE PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126513",
            "telephone_number": "254-420-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Austin Ave",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767011902",
            "country_code": "US",
            "telephone_number": "254-537-9452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIPPERLEN",
        "first_name": "BRITTANY",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2033",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.