Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerbi Dawn Elsenbroek, PA

Individual provider Physician Assistant · NPI 1801119771

Kerbi Dawn Elsenbroek, PA is a Physician Assistant in Fort Worth, Texas. Qualified in 2010, 16 years ago. Practices with Epiphany Dermatology PA, a 107-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12469 Timberland Blvd # 501
Fort Worth, TX 76244-6548
Phone: (817) 431-6555
Fax: (817) 431-7979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801119771
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 8, 2010
Last updated in NPPESSeptember 18, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Epiphany Dermatology Pa — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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