Active NPI
Karla Belen Medrano, PA-C
- Physician Assistant
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-10930
- Practice address
- 3650 Cape Center Dr
Fayetteville, NC 28304-2139 - Phone
- (910) 483-0049
- NPI assigned
- Jan 27, 2021
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-10930 | NC | Primary |
Addresses
Primary practice location
3650 Cape Center Dr
Fayetteville, NC 28304-2139
Mailing address
3609 NW 62ND St
Oklahoma City, OK 73112-1401
Phone (405) 919-2502
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3144 Horizon Rd
Suite 220
Rockwall, TX 75032-7050
Phone (972) 771-1935
3150 Horizon Rd
Rockwall, TX 75032-7805
Phone (469) 698-1000
341 Wheatfield Dr
Sunnyvale, TX 75182-4639
4333 N Josey LN
Suite 104
Carrollton, TX 75010-4620
Phone (972) 394-4500
8200 Walnut Hill LN
Dallas, TX 75231-4426
Phone (214) 345-8441
8230 Walnut Hill LN
Suite 410
Dallas, TX 75231-4469
Phone (214) 369-3613
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-10930 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
8230 Walnut Hill Ln
Ste 410
Dallas, TX 75231
Phone (214) 346-0602
341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996
Interoperability endpoints
- kmedrano2282250@direct.texashealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
dba Sleep Healers
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Orthopaedic Surgery of the Spine Physician
- Plano, TX
- NPI 1184663163
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Richardson, TX
- NPI 1114035383
Hospital
-
dba Texas Health Hospital Rockwall
- General Acute Care Hospital
- Rockwall, TX
- NPI 1629138029
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1578154175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 NW 62ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731121401",
"telephone_number": "405-919-2502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 CAPE CENTER DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283042139",
"telephone_number": "910-483-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "KARLA",
"middle_name": "BELEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-10930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.