Individual provider Active NPI

Lisa Michele Ostrowski, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1881853786
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01069 Issued in TX
Practice address
723 N Fielder Rd
Ste C
Arlington, TX 76012-4697
Phone
(817) 539-0959
Fax
(817) 539-0480
NPI assigned
Jun 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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 PA01069 TX Primary

Addresses

Primary practice location

723 N Fielder Rd
Ste C
Arlington, TX 76012-4697

Mailing address

723 N Fielder Rd
Ste C
Arlington, TX 76012-4697
Phone (817) 539-0959

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
I20090720000477 TX Practitioner - Physician Assistant 3173675394 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mansfield Dermatology, PLLCGroup PAC ID 2769545458, 10 clinicians
United Dermatology Associates of Arlington, PLLCGroup PAC ID 3476954561, 7 clinicians

Practice addresses (Care Compare)

130 Regency Pkwy
Mansfield, TX 76063-5167
Phone (817) 539-0959

2800 E Broad St
124 United Dermatology Associates
Mansfield, TX 76063-6410
Phone (817) 539-0959

3132 Matlock Rd
Suite 307
Arlington, TX 76015-2922
Phone (817) 539-0959

400 N Queen St
Apt 210
Palestine, TX 75801-2757
Phone (817) 468-3131

Merit-based Incentive Payment System (MIPS)

Final score
90.83 of 100Reported as individual
Quality
81.67
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Dermatology Associates of Euless PLLC PastSince Jan 28, 2024 Accepting new patients
Edward E. Rotan, Jr., MD, P.a. Past Accepting new patients
Dermone Dermatology Associates of Texas PA Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1881853786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N FIELDER RD",
            "address_2": "STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124697",
            "telephone_number": "817-539-0959",
            "fax_number": "817-539-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N FIELDER RD",
            "address_2": "STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124697",
            "telephone_number": "817-539-0959",
            "fax_number": "817-539-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTROWSKI",
        "first_name": "LISA",
        "middle_name": "MICHELE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.