Active NPI
Michele Leigh Skladzien, PA
- Physician Assistant
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
- Texas Health Harris Methodist Hospital Southlake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christine Holland MD PA | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | 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.
-
- Family Medicine Physician
- Decatur, TX
- NPI 1962677740
-
- Surgery Physician
- Southlake, TX
- NPI 1609718600
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southlake, TX
- NPI 1629064928
-
- General Acute Care Hospital
- Bedford, TX
- NPI 1104845015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.