ALYSSA WHICKER (PA-C) – Physician Assistant, NPI 1164128260

ALYSSA WHICKER (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. PA16481 (TX). The NPI Number for ALYSSA WHICKER (PA-C) is 1164128260

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA WHICKER (PA-C)
NPI
1164128260
Phone
(972) 544-6600
Address
1023 LIPSCOMB ST STE 200
Enumeration Date
1 February 2023
Last Update Date
1 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4695356813
Graduation Year
2022 (4 years ago)
PAC ID
6305218678
Group Practice PAC ID
1355620055
Professional Enrollment ID
I20230214003431
Address ID
TX762101544DE3100XBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ALYSSA WHICKER (PA-C)

  • 1023 LIPSCOMB ST STE 200

    FORT WORTH, TX 761043102

    Phone: (972) 544-6600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $853.

Total Amount is formed as General ($853) + Research ($0) + Ownership ($0) = $853.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Novo Nordisk Inc ($272).

Total Amount

$853

General + Research + Ownership

Payments

46

Total payment records

General Amount

$853

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-02-14

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
I20230214003431IPhysician 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 76104)

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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: 1355620055View full group profile
NameSpecialtyState
Physician AssistantTX
-TX
Orthopedic SurgeryTX
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-CA
Orthopedic SurgeryTX
Physician AssistantTX

Reviews

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Frequently asked questions

What identifier follows ALYSSA WHICKER (PA-C) across health systems?
The NPI 1164128260 uniquely identifies ALYSSA WHICKER (PA-C) in U.S. healthcare data.
Is ALYSSA WHICKER (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists ALYSSA WHICKER (PA-C) as active.
What services align with ALYSSA WHICKER (PA-C)'s listing?
ALYSSA WHICKER (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to ALYSSA WHICKER (PA-C)?
ALYSSA WHICKER (PA-C) shows a connection to Fort Worth, Texas in registry-derived data.
Who maintains ALYSSA WHICKER (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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