Individual provider Active NPI

Cynthia Jean Trickett, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1538130216
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01467 Issued in TX
Practice address
8144 Walnut Hill LN Ste 1300
Dallas, TX 75231-4365
Phone
(214) 420-7070
Fax
(214) 420-7380
NPI assigned
Jan 30, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 PA01467 TX Primary

Addresses

Primary practice location

8144 Walnut Hill LN Ste 1300
Dallas, TX 75231-4365

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cynthia.Trickett@forefrontdermatology.emadirect.md

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
I20041019001124 TX Practitioner - Physician Assistant 5496716961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

8144 Walnut Hill LN
Suite 1300
Dallas, TX 75231-4365
Phone (214) 420-7070

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 3, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Jun 3, 2022 Accepting new patients
Midwest Medical Specialists PA PastSince Jul 1, 1995 Accepting new patients
Midwest Medical Specialists PA Past Accepting new patients
Mindful Pharmacy LLC PastSince Apr 17, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

8144 Walnut Hill Ln
Ste 1300
Dallas, TX 75231
Phone (214) 420-7070

2051 Greenhouse Rd
Ste 270
Houston, TX 77084
Phone (281) 665-4444

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

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, 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1538130216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN STE 1300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314365",
            "telephone_number": "214-420-7070",
            "fax_number": "214-420-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRICKETT",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cynthia.Trickett@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8144 Walnut Hill Ln Ste 1300",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752314365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.