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

Madeline Moore, PAC

Individual provider Physician Assistant · NPI 1225567399

Madeline Moore, PAC is a Physician Assistant in Grapevine, Texas. Qualified in 2017, 9 years ago. Practices with Nto Physician Partners, PLLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2535 Ira E Woods Ave
Grapevine, TX 76051
Phone: (817) 481-2121
Fax: (817) 488-4493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4501 Heritage Trace Pkwy Ste 101, Fort Worth, TX 76244-8940 — (817) 481-2121

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11335 (TX)

Record details

NPI number1225567399
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020
Mailing address2535 Ira E Woods Ave, Grapevine, TX 76051-3930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Nto Physician Partners, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grapevine