Individual provider Active NPI

Kaitlyn Pizzini, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1508255993
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7250 Hawkins View Dr Ste 411
Fort Worth, TX 76132
Phone
(866) 367-8768
Fax
(817) 541-9401
NPI assigned
Jan 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 Primary

Addresses

Primary practice location

7250 Hawkins View Dr Ste 411
Fort Worth, TX 76132

Mailing address

5001 S Cooper St Ste 201
Arlington, TX 76017-5993
Phone (866) 367-8768

Other practice location 1

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone (817) 784-8268

Other practice location 2

5450 Clearfork Main St Ste 410
Fort Worth, TX 76109
Phone (817) 784-8268

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
I20150310002296 TX Practitioner - Physician Assistant 8224354212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Partners of North Texas, PLLCGroup PAC ID 7315283454, 91 clinicians

Practice addresses (Care Compare)

1701 Fountainview Dr
Suite 120
Mansfield, TX 76063-5091
Phone (866) 367-8768

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200

5001 S Cooper St
Suite 201
Arlington, TX 76017-5993

5005 S Cooper St
Suite 250
Arlington, TX 76017-5996
Phone (866) 367-8768

6801 Oakmont Blvd
Suite 102
Fort Worth, TX 76132-3903
Phone (866) 367-8768

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
91.85
Promoting interoperability
77
Improvement activities
40
Cost
74.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Partners of North Texas, PLLC PastSince Jul 25, 2019 Accepting new patients
Medical Clinic of North Texas PLLC Past Accepting new patients

Organizations & group practices 3

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1508255993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S COOPER ST STE 201",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175993",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 HAWKINS VIEW DR STE 411",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "866-367-8768",
            "fax_number": "817-541-9401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Clearfork Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "fax_number": "817-804-8181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5450 Clearfork Main St Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "817-784-8268",
            "fax_number": "817-804-8181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIZZINI",
        "first_name": "KAITLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.