Individual provider Active NPI

Lisa Hendricks, NP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1679255665
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
985871 Issued in TX
Practice address
2710 Swiss Ave
Dallas, TX 75204-5900
Phone
(214) 821-2303
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 985871 TX Primary

Addresses

Primary practice location

2710 Swiss Ave
Dallas, TX 75204-5900

Mailing address

4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001
Phone (469) 420-5544

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
I20231214003905 TX Practitioner - Nurse Practitioner 3274982285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Critical Care PAGroup PAC ID 6103041637, 79 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (214) 821-1599

2710 Swiss Ave
Dallas, TX 75204-5900
Phone (214) 821-2303

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

621 N Hall St
Dallas, TX 75226-1339
Phone (214) 820-0600

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Merit-based Incentive Payment System (MIPS)

Final score
98.87 of 100Reported as group
Quality
90.89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.41 of 100Reported as group
Quality
88.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
985871TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Critical Care PA CurrentSince Nov 6, 2023 Accepting new patients
Urgent Surgery Associates, P.a. CurrentSince Nov 6, 2023 Accepting new patients

Locations

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

3500 Gaston Ave
Dallas, TX 75246

2710 Swiss Ave
Dallas, TX 75204
Phone (214) 821-2303

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1679255665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446001",
            "telephone_number": "469-420-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SWISS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752045900",
            "telephone_number": "214-821-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "LISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "985871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.