Organization Active NPI

Michaela King Klose Aprn FNP BC PLLC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1508474131
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MICHAELA KING KLOSE APRN FNP BC PLLC
Doing business as
Opal Healthcare & Wellness
Practice address
9219 Garland Rd Ste 2107
Dallas, TX 75218-4639
Phone
(972) 664-4995
Fax
(833) 970-0961
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Michaela King KloseNPI 1528431178
Title
Owner
Phone
(972) 664-4995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

9219 Garland Rd Ste 2107
Dallas, TX 75218-4639

Mailing address

9219 Garland Rd Ste 2107
Dallas, TX 75218-4639
Phone (972) 664-4995

Other names 1

  • Opal Healthcare & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112000092 TX Part B Supplier - Clinic/Group Practice 9133539687 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2211371Michaela King Klose, Aprn, FNP, BC, PLLC9219 Garland Rd Suite 2107, Dallas, TX 75218Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1508474131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 GARLAND RD STE 2107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184639",
            "telephone_number": "972-664-4995",
            "fax_number": "833-970-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 GARLAND RD STE 2107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184639",
            "telephone_number": "972-664-4995",
            "fax_number": "833-970-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELA KING KLOSE APRN FNP BC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "KLOSE",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-664-4995"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opal Healthcare & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.