Individual provider Active NPI

Ambra Wesley, PA-C

  • Surgical Physician Assistant
  • Rockwall, TX
National Provider Identifier
1386308518
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA14965 Issued in TX
Practice address
1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone
(972) 771-8111
Fax
(972) 771-8103
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA14965 TX
Surgical Physician Assistant 363AS0400X PA14965 TX Primary

Addresses

Primary practice location

1301 Summer Lee Dr
Rockwall, TX 75032-5452

Mailing address

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

Other practice location 1

200 N Arch St
Royse City, TX 75189-8631
Phone (972) 771-8111

Other practice location 2

325 Fm 548 Ste 100
Forney, TX 75126-6992
Phone (972) 771-8111

Other practice location 3

200 N Virginia St
Terrell, TX 75160-2732
Phone (972) 771-8111

Other practice location 4

731 Woodbridge Pkwy Ste 100
Wylie, TX 75098-7165
Phone (972) 771-8111

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
I20211118000983 TX Practitioner - Physician Assistant 3274922943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Summer Lee Dr
Rockwall, TX 75032-5452
Phone (972) 771-8111

250 Kroger Dr
Suite 120
Forney, TX 75126-4441
Phone (972) 771-8111

3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (682) 236-6798

6800 Scenic Dr
Rowlett, TX 75088-4552
Phone (972) 520-9131

825 W Yellowjacket LN
BSW Surgicare Rockwall
Rockwall, TX 75087-4818
Phone (972) 772-6166

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14965TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of Dallas, PA Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients
Orthopaedic Specialists of Dallas, PA Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 10
Addison, TX 75001
Phone (469) 718-5260

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

250 Kroger Dr
Ste 120
Forney, TX 75126

325 FM 548
Ste 100
Forney, TX 75126
Phone (214) 771-4400

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

850 Ed Hall Dr
Kaufman, TX 75142
Phone (972) 932-5555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

1301 Summer Lee Dr
Rockwall, TX 75032
Phone (214) 306-4116

825 W Yellowjacket Ln
Rockwall, TX 75087
Phone (972) 772-6166

115 FM 2453
Ste D
Royse City, TX 75189
Phone (214) 471-5750

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

200 N Virginia St
Terrell, TX 75160
Phone 97255174007500

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

731 Woodbridge Pkwy
Ste 100
Wylie, TX 75098

Organizations & group practices 2

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1386308518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "972-771-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMER LEE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325452",
            "telephone_number": "972-771-8111",
            "fax_number": "972-771-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Arch St",
            "address_purpose": "LOCATION",
            "city": "Royse City",
            "state": "TX",
            "postal_code": "751898631",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Fm 548 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751266992",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "TX",
            "postal_code": "751602732",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 Woodbridge Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750987165",
            "country_code": "US",
            "telephone_number": "972-771-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "AMBRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA14965",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA14965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.