Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Angela K Wickstrum, PA-C

Individual provider Physician Assistant · NPI 1912137977

MS. Angela K Wickstrum, PA-C is a Physician Assistant in Fort Worth, Texas. Qualified in 2006, 20 years ago. Practices with Oak Street Health of Texas PLLC, a 102-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone: (817) 369-8526
Fax: (817) 764-0714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04934 (TX)

Record details

NPI number1912137977
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 23, 2009
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Oak Street Health Of Texas Pllc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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