ABIGAIL JOY SODERDAHL PA-C
NPI 1619775236
Physician Assistant - Medical in Fort Worth, TX

Q: What is Abigail Soderdahl's NPI number?

The NPI number for Abigail Soderdahl is 1619775236. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Q: What is Abigail Soderdahl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Abigail Soderdahl was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 07, 2025PECOS Enrolled

2900 ACME BRICK PLZ, FORT WORTH, TX 76109(817) 871-9069 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Abigail Joy Soderdahl Pa-c NPPES

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

ABIGAIL JOY SODERDAHL PA-C (NPI 1619775236) is an individual medical provider in Fort Worth, Texas, licensed in Texas (PA19046) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Texas Health Huguley Hospital Fort Worth South, and maintains a secondary practice location in Burleson.

NPPES Registry Identity

NPI1619775236

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameABIGAIL JOY SODERDAHLCredential: PA-C

Location Address2900 ACME BRICK PLZFort Worth, TX 76109-4123

Mailing Address2900 Acme Brick PlzFort Worth, TX 76109-4123 · (817) 871-9069

Phone(817) 871-9069

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 7, 2025

Last NPPES UpdateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1619775236 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 · PA19046

2900 ACME BRICK PLZ, Fort Worth, TX 76109

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Secondary Practice Location 1

Location 111803 South Fwy Ste 346Burleson, TX 76028-7036 · Phone (817) 769-3370 · Fax (817) 769-3377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Abigail Joy Soderdahl Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214454065

PECOS Enrollment IDI20250506001705

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450677

Location11801 South FreewayBurleson, TX 76028 · Johnson County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL G WATERS D.O.

Urology