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MARLEE LAUREN GOPPERT
NPI 1013876259
Physician Assistant - Medical in Dallas, TX

Active since January 21, 2026PECOS Enrolled
4245 N CENTRAL EXPY STE 300, DALLAS, TX 75205(972) 532-9968 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2026, Jan 21, 2026 (2 updates tracked since 2026).

About Marlee Lauren Goppert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLEE LAUREN GOPPERT (NPI 1013876259) is an individual medical provider in Dallas, Texas, licensed in Texas (PA20215) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1013876259
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARLEE LAUREN GOPPERT
Location Address4245 N CENTRAL EXPY STE 300Dallas, TX 75205-4569
Mailing Address3925 Siena DrFrisco, TX 75033-7103 · (214) 995-7831
Phone(972) 532-9968
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 21, 2026
Last NPPES UpdateApril 6, 20262 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1013876259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA20215
4245 N CENTRAL EXPY STE 300, Dallas, TX 75205
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlee Lauren Goppert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800366782
PECOS Enrollment IDI20260601003506
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ANN MCGILL
Physician Assistant
4245 N CENTRAL EXPY STE 300
DALLAS, TX 75205
Dallas County (972) 532-9968
SCOTT THOMAS NEWTON MD
Psychiatry & Neurology (Psychiatry)
4245 N CENTRAL EXPY STE 300
DALLAS, TX 75205
Dallas County (972) 532-9968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlee Goppert's NPI number?

The NPI number for Marlee Goppert is 1013876259. It was assigned to this individual provider in the NPPES registry on January 21, 2026.

Where is Marlee Goppert located?

Marlee Goppert practices at 4245 N Central Expy Ste 300, Dallas, TX 75205. The listed phone number is (972) 532-9968.

What is Marlee Goppert's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marlee Goppert enrolled in Medicare?

Yes. Marlee Goppert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marlee Goppert was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.