Individual provider Active NPI

Melissa Elizabeth Canter, PA

  • Physician Assistant
  • Carrollton, TX
National Provider Identifier
1679898381
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04777 Issued in TX
Practice address
2008 E Hebron Pkwy Ste 114
Carrollton, TX 75007-1601
Phone
(469) 431-0544
Fax
(866) 512-8083
NPI assigned
Apr 6, 2010
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 PA04777 TX Primary

Addresses

Primary practice location

2008 E Hebron Pkwy Ste 114
Carrollton, TX 75007-1601

Mailing address

2008 E Hebron Pkwy Ste 114
Carrollton, TX 75007-1601
Phone (469) 431-0544

Other practice location 1

503 Main St Ste C
Lake Dallas, TX 75065-2878
Phone (940) 535-5296

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
I20101028001330 TX Practitioner - Physician Assistant 3476747908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reshaped PLLCGroup PAC ID 9638419765, 6 clinicians

Practice addresses (Care Compare)

2008 E Hebron Pkwy
Suite 114
Carrollton, TX 75007-1601
Phone (469) 431-0544

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Physician Assistant CurrentSince Dec 19, 2024 Accepting new patients
Reshaped PLLC CurrentSince Jan 7, 2026 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Dec 19, 2024 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2008 E Hebron Pkwy
Ste 114
Carrollton, TX 75007
Phone (469) 431-0544

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: melissa.canter.1@19573.direct.athenahealth.com

Organizations & group practices 4

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": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1679898381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 E HEBRON PKWY STE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071601",
            "telephone_number": "469-431-0544",
            "fax_number": "866-512-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 E HEBRON PKWY STE 114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750071601",
            "telephone_number": "469-431-0544",
            "fax_number": "866-512-8083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Lake Dallas",
            "state": "TX",
            "postal_code": "750652878",
            "country_code": "US",
            "telephone_number": "940-535-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTER",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.