Individual provider Active NPI

Joanne M. Celenza, PA-C

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1629054648
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
AP08625 Issued in TX
Practice address
7777 Forest LN
Suite A307
Dallas, TX 75230-2571
Phone
(972) 566-4866
Fax
(972) 566-2469
NPI assigned
Dec 21, 2005
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0110002198 VA
Surgical Physician Assistant 363AS0400X AP08625 TX Primary

Addresses

Primary practice location

7777 Forest LN
Suite A307
Dallas, TX 75230-2571

Mailing address

11970 N Central Expy Ste 520
Dallas, TX 75243-3768
Phone (972) 566-4866

Other practice location 1

515 W Mayfield Rd Ste 311
Arlington, TX 76014-2085
Phone (972) 566-4866

Other practice location 2

11970 N Central Expy Ste 520
Dallas, TX 75243-3768
Phone (972) 566-4866

Other identifiers 2

IdentifierTypeStateIssuer
203639329OtherTRICARE PROVIDER NUMBER
010222796MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JOANNE.CELENZA@hca7.eclinicaldirectplus.com

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
I20131118000387 TX Practitioner - Physician Assistant 2860414976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Heart Surgery Center, PLLCGroup PAC ID 6901081363, 22 clinicians

Practice addresses (Care Compare)

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

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

4500 Medical Ctr Dr
Fairview, TX 75069-1650
Phone (972) 547-8000

515 W Mayfield Rd
Arlington, TX 76014-2085
Phone (817) 468-3471

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.02 of 100Reported as group
Quality
81.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08625TXMDSurgical Physician Assistant
0110002198VAMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: joanne.celenza@hca7.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1629054648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11970 N CENTRAL EXPY STE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433768",
            "telephone_number": "972-566-4866",
            "fax_number": "972-566-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE A307",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-4866",
            "fax_number": "972-566-2469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Mayfield Rd Ste 311",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "972-566-4866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11970 N Central Expy Ste 520",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433768",
            "country_code": "US",
            "telephone_number": "972-566-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELENZA",
        "first_name": "JOANNE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110002198",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "AP08625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PROVIDER NUMBER",
            "identifier": "203639329",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010222796",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JOANNE.CELENZA@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11970 N Central Expy Ste 520",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752433768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.