Individual provider Active NPI

Lauren Michelle McKissick, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1891265385
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12450 Issued in TX
Practice address
3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165
Phone
(817) 540-4477
Fax
(817) 540-5633
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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 PA12450 TX Primary

Addresses

Primary practice location

3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165

Mailing address

2425 Highway 121
Bedford, TX 76021-5011
Phone (817) 540-4477

Other names 1

  • Lauren Michelle Hooper Former name

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
I20181218003408 TX Practitioner - Physician Assistant 7719222843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
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)

3301 Golden Triangle Blvd
Fort Worth, TX 76177-7165
Phone (817) 540-4477

Hospital & facility affiliations

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

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedic Specialists, PLLC Physician Assistant CurrentSince Aug 30, 2019 Accepting new patients
Doctx3 PLLC CurrentSince Jan 1, 2024 Accepting new patients
Texas Orthopedic Specialists, PLLC Physician Assistant CurrentSince Aug 30, 2019 Accepting new patients

Locations

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

2425 Highway 121
Bedford, TX 76021
Phone (817) 510-4083

10932 N Riverside Dr
Ste 108
Fort Worth, TX 76244

3301 Golden Triangle Blvd
Fort Worth, TX 76177
Phone (972) 355-9038

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

Organizations & group practices 3

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1891265385",
    "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": "760215011",
            "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": "3301 GOLDEN TRIANGLE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777165",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKISSICK",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HOOPER",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.