Individual provider Active NPI

Angelique White Ferraris, PA-C

  • Medical Physician Assistant
  • Frisco, TX
National Provider Identifier
1245680883
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10627 Issued in TX
Practice address
3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418
Phone
(469) 334-2635
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10627 TX Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418

Mailing address

3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418
Phone (469) 334-2635

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
I20240801001457 TX Practitioner - Physician Assistant 7416494976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brady Medical Group PLLCGroup PAC ID 1951843440, 7 clinicians

Practice addresses (Care Compare)

12770 Coit Rd
Suite 1200
Dallas, TX 75251-1413
Phone (844) 409-4657

1833 Cannon Dr
Mansfield, TX 76063-3482
Phone (844) 409-4657

2443 S Galveston Ave
Pearland, TX 77581-4222
Phone (844) 409-4657

3201 Medpark Dr
Denton, TX 76208-6932
Phone (844) 409-4657

409 Central Park Dr
Arlington, TX 76014-2069
Phone (844) 409-4657

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10627TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brady Medical Group PLLC CurrentSince May 30, 2024 Accepting new patients

Locations

409 Central Park Dr
Arlington, TX 76014
Phone (817) 261-9191

3800 Gaylord Pkwy
Ste 1190
Frisco, TX 75034
Phone (214) 919-3862

6031 Connection Dr
Ste 100
Irving, TX 75039
Phone (469) 331-9629

1833 Cannon Dr
Mansfield, TX 76063
Phone (817) 477-4441

6700 Alma Rd
Ste 400
McKinney, TX 75070
Phone (469) 663-0515

2443 S Galveston Ave
Pearland, TX 77581
Phone (281) 485-4829

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1245680883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "469-334-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "469-334-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARIS",
        "first_name": "ANGELIQUE",
        "middle_name": "WHITE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA10627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.