Individual provider Active NPI

Victoria A Engle, PA-C

  • Surgical Physician Assistant
  • Rowlett, TX
National Provider Identifier
1770146615
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA14067 Issued in TX
Practice address
7501 Lakeview Pkwy Ste 245
Rowlett, TX 75088-9326
Phone
(214) 227-2457
Fax
(214) 764-0880
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA14067 TX Primary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA14067 TX

Addresses

Primary practice location

7501 Lakeview Pkwy Ste 245
Rowlett, TX 75088-9326

Mailing address

7501 Lakeview Pkwy
Ste 245
Rowlett, TX 75088-9326
Phone (469) 626-1577

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
I20201111003069 TX Practitioner - Physician Assistant 8729498274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mpower Clinical TXGroup PAC ID 1850716705, 31 clinicians

Practice addresses (Care Compare)

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (469) 248-3900

1800 Park Place Ave
Fort Worth, TX 76110-1302
Phone (682) 703-5600

2010 W Katherine P Raines Rd
Texas Health Surgery Center
Cleburne, TX 76033-7435
Phone (817) 645-0811

3901 W 15TH St
Medical City Plano
Plano, TX 75075-7738
Phone (972) 596-6800

4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Phone (469) 322-7000

7 Trails End Rd
Abilene, TX 79602-5501
Phone (210) 598-2800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Davids Heart & Vascular, PLLC Single Specialty PastSince Nov 1, 2020 Accepting new patients

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 6

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1770146615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "STE 245",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889326",
            "telephone_number": "469-626-1577",
            "fax_number": "469-626-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY STE 245",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889326",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "VICTORIA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA14067",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

Verify at the official NPI Registry.