Trisha Trevino Fennell, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04645 Issued in TX

Practice address

14660 State Highway 121 Ste 100
Frisco, TX 75035-4630

Phone

(214) 705-6611

Fax

(214) 619-1007

NPI assigned

Mar 23, 2007

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Orthopaedics and Sports Medicine, P.a.Group PAC ID 2769550565, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: trisha.fennell.1@1686.direct.athenahealth.com

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.

• Performance Orthopaedics & Sports Medicine, P.a.

  • Orthopaedic Surgery Physician
  • Frisco, TX
  • NPI 1962663682
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist McKinney Hospital LLC

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1952538431
  Care Compare affiliation

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1225155633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14660 STATE HIGHWAY 121 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354630",
            "telephone_number": "214-705-6611",
            "fax_number": "214-619-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 STATE HIGHWAY 121 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354630",
            "telephone_number": "214-705-6611",
            "fax_number": "214-619-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "TRISHA",
        "middle_name": "TREVINO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Frisco, TX
• Providers in Frisco, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.