Individual provider Active NPI

Abigayle Ryan Cross, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1225790280
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16969 Issued in TX
Practice address
4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone
(817) 431-7985
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 329004 LA
Physician Assistant 363A00000X PA16969 TX Primary

Addresses

Primary practice location

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905

Mailing address

11201 Paisano Rd Apt 5308
Fort Worth, TX 76244-2965
Phone (225) 276-2869

Other practice location 1

1680 FM 407
Suite #120
Northlake, TX 76247-6201
Phone (817) 431-7985

Other names 1

  • Mrs. Abigayle Ryan Neel Former name

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
I20231212001837 TX Practitioner - Physician Assistant 6204224397

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in Shreveport, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1225790280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 PAISANO RD APT 5308",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442965",
            "telephone_number": "225-276-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448905",
            "telephone_number": "817-431-7985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 FM 407",
            "address_2": "Suite #120",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "TX",
            "postal_code": "762476201",
            "country_code": "US",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-7985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "ABIGAYLE",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "329004",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAYLE",
            "last_name": "NEEL",
            "middle_name": "RYAN",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.