Audrey Ann Allen, PA
Individual provider Active NPI Physician Assistant · Plano, TX
NPI 1669680922 · NPPES record last updated Sep 8, 2015
Key facts
- NPI
- 1669680922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA04418 (TX)
- Practice address
- 2105 W Spring Creek Pkwy Ste A300
Plano, TX 75023-4195 - Phone
- (972) 208-2900
- Fax
- (972) 491-6750
- NPI assigned
- May 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070730000471 | TX | Practitioner - Physician Assistant | 2163523549 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04418 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current |
Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04418 | TX | Yes |
| Medical Physician Assistant | 363AM0700X | PA04418 | TX |
Addresses
Primary practice location
2105 W Spring Creek Pkwy Ste A300
Plano, TX 75023-4195
Mailing address
2105 W Spring Creek Pkwy Ste A300
Plano, TX 75023-4195
Phone (972) 208-2900
Other names
- Audrey Ann Broushet
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.