CHRISTINA MARIE LASCANO (PA-C) – Physician Assistant, NPI 1013435858

CHRISTINA MARIE LASCANO (PA-C) is a healthcare provider. based in Fort worth, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA11416 (TX). The NPI Number for CHRISTINA MARIE LASCANO (PA-C) is 1013435858

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA MARIE LASCANO (PA-C)
NPI
1013435858
Phone
(817) 336-1189
Address
3455 LOCKE AVE STE 315
Enumeration Date
31 August 2017
Last Update Date
23 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2145702319
Graduation Year
2017 (9 years ago)
PAC ID
3072947456
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20191217002042
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for CHRISTINA MARIE LASCANO (PA-C)

  • Locke Avenue, Fort Worth, Tarrant County, Texas, 76107, United States

    FORT WORTH, TX 761075747

    Phone: (817) 336-1189

    Fax: (817) 877-5665

    Type: Mailing

  • 5750 W VICKERY BLVD STE 104

    FORT WORTH, TX 761077448

    Phone: (817) 732-2878

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Dexcom, Inc. ($37).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dexcom, Inc.$37
ABBVIE INC.$15
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191217002042IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm CHRISTINA MARIE LASCANO (PA-C)'s NPI?
Yes. CHRISTINA MARIE LASCANO (PA-C) is listed with NPI 1013435858 in the public NPI dataset.
Does CMS list CHRISTINA MARIE LASCANO (PA-C) as active?
Yes — CHRISTINA MARIE LASCANO (PA-C) is active in the NPI listing used on this page.
What is CHRISTINA MARIE LASCANO (PA-C)'s primary classification?
Physician Assistant is the headline specialty for CHRISTINA MARIE LASCANO (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTINA MARIE LASCANO (PA-C) on a map?
Expect Fort Worth, Texas as a primary anchor for CHRISTINA MARIE LASCANO (PA-C) unless the record lists multiple sites.
Why does CHRISTINA MARIE LASCANO (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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