Individual provider Active NPI

Laura Lin Darnell, PA-C

  • Physician Assistant
  • Decatur, TX
National Provider Identifier
1457654451
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10520 Issued in TX
Practice address
609 Medical Center Dr Ste 1200
Decatur, TX 76234-3835
Phone
(940) 539-8128
Fax
(940) 432-3640
NPI assigned
Dec 13, 2010
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 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 PA10520 TX Primary

Addresses

Primary practice location

609 Medical Center Dr Ste 1200
Decatur, TX 76234-3835

Mailing address

PO Box 2078
Decatur, TX 76234-6156
Phone (940) 539-8128

Other practice location 1

2000 S Fm 51
Decatur, TX 76234-3702
Phone (940) 626-3879

Other identifiers 2

IdentifierTypeStateIssuer
8RV361OtherTXBCBS
1457654451MedicaidTX

Other names 1

  • Ms. Laura Lin Krizek 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
I20230120000801 TX Practitioner - Physician Assistant 0941480594 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10520TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Hospital Authority Current Accepting new patients
Austin I Ogwu, MD PA PastSince May 1, 2003 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Wise Clinical Care Associates PastSince Jun 12, 2022 Accepting new patients

Locations

2000 S FM 51
Decatur, TX 76234
Phone (940) 626-1848

609 Medical Center Dr
Ste 1200
Decatur, TX 76234
Phone (940) 539-8128

Interoperability endpoints

  • Direct secure messaging: laura.darnell@4668404203524.direct.elationemr.com
  • Direct secure messaging: lauradarnell@wise.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1457654451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2078",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762346156",
            "telephone_number": "940-539-8128",
            "fax_number": "940-432-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR STE 1200",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343835",
            "telephone_number": "940-539-8128",
            "fax_number": "940-432-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Fm 51",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762343702",
            "country_code": "US",
            "telephone_number": "940-626-3879",
            "fax_number": "940-626-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARNELL",
        "first_name": "LAURA",
        "middle_name": "LIN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8RV361",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457654451",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KRIZEK",
            "middle_name": "LIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.