Individual provider Active NPI

Michael Nizinski, PA-C

  • Physician Assistant
  • Weatherford, TX
National Provider Identifier
1689453649
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17242 Issued in TX
Practice address
920 Hilltop Dr
Weatherford, TX 76086-5488
Phone
(817) 334-2800
Fax
(817) 613-8590
NPI assigned
Sep 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 PA17242 TX Primary

Addresses

Primary practice location

920 Hilltop Dr
Weatherford, TX 76086-5488

Mailing address

920 Hilltop Dr
Weatherford, TX 76086-5488

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address michael.nizinski.p1@direct.hcnt.nextgenshare.com Health Information Exchange (HIE)
Direct Messaging Address michael.nizinski.p1@direct.hcnt.nextgenshare.com Health Information Exchange (HIE)

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
I20231114003487 TX Practitioner - Physician Assistant 1456708320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.96 of 100Reported as group
Quality
81.53
Promoting interoperability
100
Improvement activities
40
Cost
74.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17242TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of North Texas, PA CurrentSince Sep 6, 2023 Accepting new patients

Locations

1017 12th Ave
Fort Worth, TX 76104

920 Hilltop Dr
Weatherford, TX 76086
Phone (817) 613-9082

Interoperability endpoints

  • Direct secure messaging: michael.nizinski.p1@direct.hcnt.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1689453649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 HILLTOP DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 HILLTOP DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865488",
            "telephone_number": "817-334-2800",
            "fax_number": "817-613-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZINSKI",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.nizinski.p1@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "920 Hilltop Dr",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760865488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.nizinski.p1@direct.hcnt.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1017 12th Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.