Individual provider Active NPI

Michelle M Torres, PA-C

  • Physician Assistant
  • Keller, TX
National Provider Identifier
1891874277
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04981 Issued in TX
Practice address
100 Bourland Rd Ste 150
Keller, TX 76248-3592
Phone
(817) 753-6250
Fax
(817) 431-1441
NPI assigned
Nov 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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 PA04981 TX Primary

Addresses

Primary practice location

100 Bourland Rd Ste 150
Keller, TX 76248-3592

Mailing address

100 Bourland Rd Ste 150
Keller, TX 76248-3592
Phone (817) 753-6250

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
I20070223000220 TX Practitioner - Physician Assistant 9638271521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

11888 Marsh LN
Suite 104
Dallas, TX 75234-8083
Phone (972) 488-9222

2205 N Tarrant Pkwy
Fort Worth, TX 76177-2204
Phone (817) 328-3320

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

5076 W Plano Pkwy
Plano, TX 75093-5009
Phone (972) 733-0095

540 Surf St
Lewisville, TX 75067-3526
Phone (972) 420-9900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince Oct 8, 2024 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

Interoperability endpoints

  • Direct secure messaging: michelle.torrespac.p11@direct.nextcare.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1891874277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BOURLAND RD STE 150",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483592",
            "telephone_number": "817-753-6250",
            "fax_number": "817-431-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOURLAND RD STE 150",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483592",
            "telephone_number": "817-753-6250",
            "fax_number": "817-431-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.