Active NPI
Dina Marie Wagener Manning, PA-C
- Physician Assistant
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9120888
- Practice address
- 6200 SW 73Rd St
South Miami, FL 33143-4679 - Phone
- (786) 662-4000
- NPI assigned
- Sep 27, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9108979 | FL | |
| Physician Assistant | 363A00000X | PA12156 | TX | |
| Physician Assistant | 363A00000X | PA9120888 | FL | Primary |
Addresses
Primary practice location
6200 SW 73Rd St
South Miami, FL 33143-4679
Mailing address
1917 NE 119TH Rd
North Miami, FL 33181-3305
Phone (305) 409-6247
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104
3805 W University Dr
Suite 100
McKinney, TX 75071-2944
Phone (469) 495-9102
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108979 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Current | Accepting new patients | |
| Texas Health Urgent Care | Physician Assistant | Current | Accepting new patients |
| Topcare Medical PA | Past | Accepting new patients |
Locations
805 W McDermott Dr
#200
Allen, TX 75013
Phone (469) 495-9136
6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110
125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104
Interoperability endpoints
- dwagener2036118@direct.texashealth.org
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1104431527
-
- Urgent Care Clinic/Center
- Allen, TX
- NPI 1629724315
-
- Urgent Care Clinic/Center
- McKinney, TX
- NPI 1972118388
-
- Specialist
- Irving, TX
- NPI 1043231400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783814400000",
"number": "1891165338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 NE 119TH RD",
"city": "NORTH MIAMI",
"state": "FL",
"postal_code": "331813305",
"telephone_number": "305-409-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434679",
"telephone_number": "786-662-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "DINA",
"middle_name": "MARIE WAGENER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-27",
"last_updated": "2026-07-12",
"certification_date": "2026-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108979",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12156",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9120888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.