Individual provider Active NPI

Laurie A Hill, PA-C

  • Physician Assistant
  • Burleson, TX
National Provider Identifier
1790729663
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01940 Issued in TX
Practice address
11805 South Fwy Ste 201
Burleson, TX 76028-7220
Phone
(817) 759-7000
Fax
(817) 759-7027
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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 PA01940 TX Primary

Addresses

Primary practice location

11805 South Fwy Ste 201
Burleson, TX 76028-7220

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104
Phone (817) 759-7000

Other identifiers 3

IdentifierTypeStateIssuer
1947418-11MedicaidTX
1947418-10MedicaidTX
8550NQOtherBCBS

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
I20080811000252 TX Practitioner - Physician Assistant 9830263755 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

3000N Interstate 35
Denton, TX 76201-5119
Phone (469) 303-3591

400 W Magnolia Ave
Fort Worth, TX 76104-7617
Phone (817) 288-9800

600 S Main St
Fort Worth, TX 76104-2410

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01940TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Consultants, PA CurrentSince Jun 10, 2011 Accepting new patients
Oncology-Hematology Consultants PA CurrentSince Jun 10, 2011 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 1, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jun 1, 2022 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

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

11805 South Fwy
Ste 201
Burleson, TX 76028
Phone (817) 333-0133

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Organizations & group practices 6

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 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1790729663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-759-7000",
            "fax_number": "817-882-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11805 SOUTH FWY STE 201",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287220",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947418-11",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1947418-10",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8550NQ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.