Active NPI
Alison L Wensrich, PA-C
- Physician Assistant
- Bedford, TX
National Provider Identifier
1699718049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA03997
- Practice address
- 3024 Highway 121
Bedford, TX 76021-4037 - Phone
- (817) 494-5000
- Fax
- (817) 494-5001
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA03997 | TX | Primary |
Addresses
Primary practice location
3024 Highway 121
Bedford, TX 76021-4037
Mailing address
3024 Highway 121
Bedford, TX 76021-4037
Phone (817) 494-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03997 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1699718049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214037",
"telephone_number": "817-494-5000",
"fax_number": "817-494-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 HIGHWAY 121",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760214037",
"telephone_number": "817-494-5000",
"fax_number": "817-494-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENSRICH",
"first_name": "ALISON",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA03997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.