Individual provider Active NPI

Karissa Sonneborn, PA-C

  • Family Medicine Physician
  • Decatur, TX
National Provider Identifier
1184407082
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA19685 Issued in TX
Practice address
800 Medical Center Dr Ste C
Decatur, TX 76234-3844
Phone
(940) 626-2110
Fax
(940) 626-2113
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA19685 TX Primary

Addresses

Primary practice location

800 Medical Center Dr Ste C
Decatur, TX 76234-3844

Mailing address

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

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
I20260203003431 TX Practitioner - Physician Assistant 0345728952 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Star Orthopedic Institute LLCGroup PAC ID 7618392424, 22 clinicians
Christine Holland, M.D., P. a.Group PAC ID 3779658190, 30 clinicians

Practice addresses (Care Compare)

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19685TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Star Orthopedic Institute, LLC CurrentSince Jan 1, 2026 Accepting new patients
Christine Holland MD PA Family Medicine CurrentSince Mar 10, 2026 Accepting new patients

Locations

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

5228 W Plano Pkwy
Plano, TX 75093
Phone (972) 250-5655

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1184407082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR STE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343844",
            "telephone_number": "940-626-2110",
            "fax_number": "940-626-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CENTER DR STE C",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343844",
            "telephone_number": "940-626-2110",
            "fax_number": "940-626-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNEBORN",
        "first_name": "KARISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA19685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.