Active NPI
Melissa Neal Wright, PA-C
- Physician Assistant
- Fort Worth, TX
National Provider Identifier
1215937651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01431
- Practice address
- 1101 S Main St
Fort Worth, TX 76104-4802 - Phone
- (817) 321-4700
- Fax
- (817) 850-2372
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01431 | TX | Primary |
Addresses
Primary practice location
1101 S Main St
Fort Worth, TX 76104-4802
Mailing address
1101 S Main St
Fort Worth, TX 76104-4802
Phone (817) 321-4700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185617101 | Medicaid | TX | |
| 8N4425 | Other | TX | BLUE CROSS BLUE SHIELD |
| P00049547 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01431 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tarrant | Current | Accepting new patients | |
| Dallas County Hospital District | Past | Accepting new patients | |
| Vickery Health Center | Past | Accepting new patients |
Locations
1101 S Main St
Ft Worth, TX 76104
Phone (817) 321-4700
Organizations & group practices 3
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.
-
dba Tarrant County Public Health
- Public Health or Welfare Agency
- Fort Worth, TX
- NPI 1194783183
-
dba CV Roman Women's Health Center
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Psychologist
- Dallas, TX
- NPI 1831166446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1215937651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4700",
"fax_number": "817-850-2372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044802",
"telephone_number": "817-321-4700",
"fax_number": "817-850-2372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "MELISSA",
"middle_name": "NEAL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185617101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8N4425",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00049547",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.