Individual provider Active NPI

April Wiseman, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1205470747
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13142 Issued in TX
Practice address
7777 Forest LN Ste C755
Dallas, TX 75230-6862
Phone
(972) 566-2600
Fax
(972) 566-2121
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13142 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C755
Dallas, TX 75230-6862

Mailing address

2525 Briardale Dr
Carrollton, TX 75006-2037
Phone (972) 762-1942

Other practice location 1

255 W Lebanon
Frisco, TX 75036-3411
Phone (972) 391-7100

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
I20241002001816 TX Practitioner - Physician Assistant 3779014634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Physicians of Dallas PAGroup PAC ID 7416976725, 5 clinicians

Practice addresses (Care Compare)

3465 National Dr
Suite 205
Plano, TX 75025-1095
Phone (972) 249-2138

7777 Forest LN
Suite C755
Dallas, TX 75230-6862
Phone (972) 566-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Physicians of Denton, P.a. PastSince Nov 3, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: april.wiseman@dpod.eclinicaldirectplus.com

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1205470747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 BRIARDALE DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062037",
            "telephone_number": "972-762-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C755",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306862",
            "telephone_number": "972-566-2600",
            "fax_number": "972-566-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lebanon",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750363411",
            "country_code": "US",
            "telephone_number": "972-391-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "APRIL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.