Individual provider Active NPI

Paige McKenzie Claudia Rosa, PA-C

  • Physician Assistant
  • Frisco, TX
National Provider Identifier
1134799398
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14693 Issued in TX
Practice address
11000 Frisco St Ste 200
Frisco, TX 75033-2033
Phone
(972) 623-2629
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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 TX
Physician Assistant 363A00000X PA14693 TX Primary

Addresses

Primary practice location

11000 Frisco St Ste 200
Frisco, TX 75033-2033

Mailing address

11000 Frisco St Ste 200
Frisco, TX 75033-2033
Phone (972) 623-2629

Other practice location 1

12222 N Central Expy Ste 210
Dallas, TX 75243-3788
Phone (817) 419-0303

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
I20210715004345 TX Practitioner - Physician Assistant 3678975463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
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)

1005 Legacy Ranch Rd
Suite 100
Waxahachie, TX 75165-1294
Phone (469) 800-9790

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

4001 Worth St
Dallas, TX 75246-1608

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

Hospital & facility affiliations

  • Baylor Scott & White Medical Center- Waxahachie Hospital, Waxahachie, TX, CCN 450372
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 30, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince May 30, 2023 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

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

1005 Legacy Ranch Rd
Ste 100
Waxahachie, TX 75165
Phone (469) 800-5570

Interoperability endpoints

  • Direct secure messaging: prosa937392@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 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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1134799398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 FRISCO ST STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332033",
            "telephone_number": "972-623-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 FRISCO ST STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750332033",
            "telephone_number": "972-623-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 N Central Expy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433788",
            "country_code": "US",
            "telephone_number": "817-419-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSA",
        "first_name": "PAIGE",
        "middle_name": "MCKENZIE CLAUDIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.