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Active NPI 1912137977 Individual Practitioner Female Practitioner

Angela K Wickstrum , PA-C

Physician Assistant • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Angela Wickstrum, PA-C is a certified Physician Assistant practicing in Fort Worth, TX. With approximately 20 years of clinical experience since completing medical education in 2006, Angela Wickstrum delivers high-quality medical care to the local community at 4115 E LANCASTER AVE.

Angela Wickstrum is affiliated with Oak Street Health Of Texas Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4115 E Lancaster Ave

Fort Worth, TX 761033614

Telephone 8173698526
Fax 8177640714
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Worth, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs +9.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
604 Specialists

Practicing in Fort Worth, TX (11140 Statewide)

Telehealth Adoption Rate
13.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wickstrum (20 Years) 20 Yrs
Fort Worth Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
15 15 $503.00 $139.64

Medical Specialties & State Licenses

CMS Verified: 2025-09-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04934

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.

Hospital & Practice Group Affiliations

Oak Street Health Of Texas Pllc

4115 E Lancaster Ave, Fort Worth, TX 761033614

Phone: 8177967370

Oak Street Health Of Texas Pllc

819 E Abram St, Arlington, TX 760101212

Phone: 8178418997

Oak Street Health Of Texas Pllc

1950 Ephriham Ave, Fort Worth, TX 761646670

Phone: 8178137075

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063483121

Doctor of Medicine (M.D.)

Edna Gonzalez , FNP-C

Nurse Practitioner - Family

NPI 1154995793

Family Nurse Practitioner (Certified)

Gibson Hernandez , RN, AGPCNP-BC

Nurse Practitioner - Adult Health

NPI 1811408644

Registered Nurse, AGPCNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 18, 2025

Registered at 4115 E LANCASTER AVE, FORT WORTH, TX 761033614 (Tel: 8177967370)

📍
Updated Business Mailing Address June 18, 2025

Registered at PO BOX 746079, ATLANTA, GA 303746079 (Tel: 7733521515)

NPI Profile Active January 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2015

Registered at 5301 WILLIAM D TATE AVE, GRAPEVINE, TX 760517357 (Tel: 8172512101)

📍
Updated Business Mailing Address January 12, 2015

Registered at PO BOX 9101, COPPELL, TX 750199494 (Tel: 9727457500)

👤
Provider Name / Credentials Updated January 12, 2015

Recorded as ANGELA WICKSTRUM, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2015

Physician Assistant (License #PA04934 in TX)

🟢
Initial NPI Registration & Enumeration July 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912137977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2009
Last Update: September 18, 2025
Sole Proprietor: No

Mailing Address

Po Box 746079

Atlanta, GA 303746079

Phone: 7733521515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.