Individual provider Active NPI

Michele Leigh Skladzien, PA

  • Physician Assistant
  • Grapevine, TX
National Provider Identifier
1104569433
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15684 Issued in TX
Practice address
2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone
(817) 267-2678
Fax
(817) 251-0039
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X
Physician Assistant 363A00000X PA15684 TX Primary

Addresses

Primary practice location

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766

Mailing address

2050 Hall Johnson Rd Ste 200
Grapevine, TX 76051-8766
Phone (817) 267-2678

Other names 1

  • Michele Leigh Morris Former name

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
I20220520000842 TX Practitioner - Physician Assistant 2466839055 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elite Surgical Solutions PLLCGroup PAC ID 2769950484, 2 clinicians
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Christine Holland, M.D., P. a.Group PAC ID 3779658190, 30 clinicians

Practice addresses (Care Compare)

1545 E Southlake Blvd
Suite 270
Southlake, TX 76092-5564
Phone (817) 748-2260

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

2050 Hall Johnson Rd
Suite 200
Grapevine, TX 76051-8766
Phone (817) 267-2678

800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

Hospital & facility affiliations

  • Texas Health Harris Methodist Hurst-Euless-Bedford Hospital, Bedford, TX, CCN 450639
  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Holland MD PA CurrentSince Feb 12, 2026 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2024 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

2050 Hall Johnson Rd
Ste 200
Grapevine, TX 76051
Phone (817) 267-2678

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 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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1104569433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678",
            "fax_number": "817-251-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 HALL JOHNSON RD STE 200",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518766",
            "telephone_number": "817-267-2678",
            "fax_number": "817-251-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLADZIEN",
        "first_name": "MICHELE",
        "middle_name": "LEIGH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "MORRIS",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.