KAITLIN DINH PHUONG JUDGE PA-C
NPI 1215525183
Physician Assistant in Fort Worth, TX

Q: What is Kaitlin Judge's NPI number?

The NPI number for Kaitlin Judge is 1215525183. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Q: What is Kaitlin Judge's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Judge was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since January 06, 2021PECOS Enrolled

750 8TH AVE FL 6, FORT WORTH, TX 76104(682) 303-0376(682) 303-0377 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2021, Jan 6, 2021 (2 updates tracked since 2021).

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About Kaitlin Dinh Phuong Judge Pa-c NPPES

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

KAITLIN DINH PHUONG JUDGE PA-C (NPI 1215525183) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA14326) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215525183

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKAITLIN DINH PHUONG JUDGECredential: PA-C

Location Address750 8TH AVE FL 6Fort Worth, TX 76104-2515

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(682) 303-0376

Fax(682) 303-0377

Sole ProprietorNo

Enumeration DateJanuary 6, 2021

Last NPPES UpdateJune 17, 20222 updates tracked since enumeration

NPPES CertifiedJune 17, 2022

✔ NPI 1215525183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA14326

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

750 8TH AVE FL 6, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlin Dinh Phuong Judge Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

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