Individual provider Active NPI

Micaela Amanda Ikner, NP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1174376305
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1143495 Issued in TX
Practice address
6901 Snider PLZ Ste 130
Dallas, TX 75205-5649
Phone
(214) 696-8033
NPI assigned
Apr 8, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1143495 TX Primary

Addresses

Primary practice location

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649

Mailing address

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649
Phone (214) 696-8033

Other practice location 1

9301 N Central Expy Ste 400
Dallas, TX 75231-0805
Phone (214) 265-2810

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
I20240514000599 TX Practitioner - Nurse Practitioner 5698116242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Physician Associates PLLCGroup PAC ID 1759379092, 30 clinicians

Practice addresses (Care Compare)

2727 E Lemmon Ave
Dallas, TX 75204-2833
Phone (214) 443-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

9301 N Central Expy
Ste 400
Dallas, TX 75231

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 498-1000

3601 N Calais St
Sherman, TX 75090
Phone (903) 813-3700

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 1

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": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1174376305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649",
            "telephone_number": "214-696-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649",
            "telephone_number": "214-696-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 N Central Expy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310805",
            "country_code": "US",
            "telephone_number": "214-265-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IKNER",
        "first_name": "MICAELA",
        "middle_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1143495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.