Individual provider Active NPI

Mary Elizabeth Arnold, PA-C

  • Physician Assistant
  • Denton, TX
National Provider Identifier
1366042335
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14008 Issued in TX
Practice address
1100 N Bonnie Brae St
Denton, TX 76201-2421
Phone
(940) 380-8191
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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 PA14008 TX Primary

Addresses

Primary practice location

1100 N Bonnie Brae St
Denton, TX 76201-2421

Mailing address

1100 N Bonnie Brae St
Denton, TX 76201-2421
Phone (925) 918-3218

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
I20231206004168 TX Practitioner - Physician Assistant 3678922309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

6320 Southwest Blvd
Suite 200
Benbrook, TX 76109-6961
Phone (817) 766-5500

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loreto House CurrentSince May 7, 2023 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 7, 2023 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 7, 2023 Accepting new patients

Locations

1100 N Bonnie Brae St
Denton, TX 76201
Phone (940) 380-8191

1000 Bonnie Brae Ave
Ft Worth, TX 76111
Phone (682) 235-3816

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Interoperability endpoints

  • Direct secure messaging: mary.arnold.1@15187.direct.athenahealth.com

Organizations & group practices 7

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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1366042335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N BONNIE BRAE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012421",
            "telephone_number": "925-918-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N BONNIE BRAE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012421",
            "telephone_number": "940-380-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.