Registry record
- NPI
- 1104369578
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 1130 N Kimball Ave Ste 100
Southlake, TX 76092 - Phone
- 8178653564
- In the registry since
- December 2, 2016
- Last NPPES update
- December 22, 2022
- Sole proprietor
- No
- License
- PA10439 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Melissa Wedesky is 1104369578. They are a Physician Assistant in Southlake, Texas.
Melissa Wedesky is one of 36 Physician Assistants in Southlake and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 9 years, since December 2, 2016.
Frequently asked questions
What is NPI 1104369578?
NPI 1104369578 is the 10-digit National Provider Identifier assigned to Melissa Wedesky, a Physician Assistant practicing in Southlake, Texas. The record has been in the NPPES registry since December 2, 2016.
How do I verify this provider?
Cross-check NPI 1104369578 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA10439 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as December 22, 2022. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.