Kirstin Dawn Pickens, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04422 Issued in TX

Practice address

2425 Highway 121
Bedford, TX 76021-5013

Phone

(817) 540-4477

Fax

(817) 510-0185

NPI assigned

Dec 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Orthopedic Specialists, PLLCGroup PAC ID 0941191126, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883
• Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888

Merit-based Incentive Payment System (MIPS)

Final score

66.19 of 100Reported as group

Quality

83.43

Promoting interoperability

21

Improvement activities

40

Cost

69.7

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Texas Orthopedic Specialists, PLLC

  • Orthopaedic Surgery Physician
  • Bedford, TX
  • NPI 1255443289

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Texas Orthopedic Specialists, PLLC

  dba Texas orthopedic Specialists

  • Orthopaedic Surgery Physician
  • Denton, TX
  • NPI 1689205585

  Physician Assistant

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southlake Specialty Hospital, LLC

  dba Texas Health Harris Methodist Hospital Southlake

  • General Acute Care Hospital
  • Southlake, TX
  • NPI 1629064928
  Care Compare affiliation
• Trophy Club Medical Center LP

  dba Baylor Scott & White Medical Center - Trophy Club

  • General Acute Care Hospital
  • Trophy Club, TX
  • NPI 1982609558
  Care Compare affiliation

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1740265560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215013",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215013",
            "telephone_number": "817-540-4477",
            "fax_number": "817-510-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "KIRSTIN",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8D2249",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Long Pham
• Bounphet Phengdara
• Physician House Calls of Texas LLC (AllianceCare)
• Physicians Choice Infusion Clinic PLLC
• Physicians Choice Infusion LLC (Physicians' Choice Infusion)
• Esther V Pimplekar
• Pinnacle Anesthesia Consultants, PA
• Pinnacle Laboratories
• Pixi, LLC
• Planned Parenthood of Greater Texas Inc, - Northeast

• Physician Assistant in Bedford, TX
• Providers in Bedford, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.