Susan Akberzie, CPNP
Individual provider Active NPI Primary Care Nurse Practitioner · Fort Worth, TX
NPI 1003280686 · NPPES record last updated Jun 27, 2023
Key facts
- NPI
- 1003280686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- AP129235 (TX)
- Practice address
- 1401 W Pulaski St
Fort Worth, TX 76104-2717 - Phone
- (682) 885-8012
- Fax
- (682) 885-8014
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109002108 | TX | Practitioner - Nurse Practitioner | 5799174983 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Children'S Physician Network | Current |
Accepting new patients | |
| Cook Children'S Physician Network | Current |
Accepting new patients |
Locations
1401 W Pulaski St
Fort Worth, TX 76104
Phone (682) 885-8012
1500 W Rosedale St
Fort Worth, TX 76104
Phone (682) 885-3426
801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054
1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500
Interoperability endpoints
- sakberzie200464@cookchildrens.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP129235 | TX | Yes |
Addresses
Primary practice location
1401 W Pulaski St
Fort Worth, TX 76104-2717
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-4446
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sakberzie200464@CookChildrens.direct-ci.com |
Other providers in Fort Worth, TX
- Onaopemipo Benjamin Ajiboye
- Avanthi S Ajjarapu
- Comfort I Ajuga
- Ak Neuromonitoring Solutions LLC
- Erin Akard
- Akbu LLC
- Maxx Kramer Akel
- Brilyn Akerley
- Ashley Watson Akers
- Judy Akers
All providers in Fort Worth, TX · Primary Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.