Individual provider Active NPI

Casey Parker, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1114797800
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17055 Issued in TX
Practice address
3025 N Tarrant Pkwy Ste 140
Fort Worth, TX 76177-8625
Phone
(877) 314-8990
NPI assigned
Jan 4, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 NU
Physician Assistant 363A00000X PA17055 TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 140
Fort Worth, TX 76177-8625

Mailing address

3025 N Tarrant Pkwy Ste 140
Fort Worth, TX 76177-8625

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
I20240312001559 TX Practitioner - Physician Assistant 9234575341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

310 FM 407
Suite 100
Argyle, TX 76226-5902
Phone (877) 314-8990

3325 Medpark Dr
Denton, TX 76210-6898
Phone (977) 314-8990

3535 S I 35 E
Denton, TX 76210-6850
Phone (940) 384-3535

3535 S Interstate 35 E
Medical City Denton
Denton, TX 76210-6850
Phone (940) 384-3535

4343 N Josey LN
Baylor Med Ctr Carrollton
Carrollton, TX 75010-4603
Phone (972) 492-1010

4444 Heritage Trace Pkwy
Suite 408
Fort Worth, TX 76244-8944
Phone (817) 283-5252

8800 Medical City Way
Fort Worth, TX 76177-2476
Phone (877) 314-8990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17055TXMDPhysician Assistant

Organizations & group practices 1

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.

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": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1114797800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778625",
            "telephone_number": "877-314-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "CASEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-03-13",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.