Individual provider Active NPI

Michelle Cheri Craft, FNP-C

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1013571876
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03190301 Issued in TX
Practice address
3002 Moores LN
Texarkana, TX 75503-2204
Phone
(430) 200-4350
Fax
(833) 491-2722
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03190301 TX Primary

Addresses

Primary practice location

3002 Moores LN
Texarkana, TX 75503-2204

Mailing address

1102 Grounds Rd
Cedar Hill, TX 75104-7324
Phone (430) 200-4350

Other practice location 1

1102 Grounds Rd
Cedar Hill, TX 75104-7324
Phone (469) 340-0348

Other practice location 2

3001 Saint Lynda Dr
Mansfield, TX 76063-4857
Phone (817) 687-9138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714003364 TX Practitioner - Nurse Practitioner 2466875083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
49.67 of 100Reported as group
Quality
78.05
Improvement activities
0
Cost
42.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03190301TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Wellmed Networks, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Ketamine Wellness Centers DFW, LLC PastSince Aug 1, 2019 Accepting new patients

Locations

909 Hidden Rdg
Ste 300
Irving, TX 75038
Phone (214) 766-3503

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

Interoperability endpoints

  • Direct secure messaging: michelle.craft@229366056681476.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/12325/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1013571876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 GROUNDS RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047324",
            "telephone_number": "430-200-4350",
            "fax_number": "833-491-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032204",
            "telephone_number": "430-200-4350",
            "fax_number": "833-491-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Grounds Rd",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751047324",
            "country_code": "US",
            "telephone_number": "469-340-0348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Saint Lynda Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634857",
            "country_code": "US",
            "telephone_number": "817-687-9138",
            "fax_number": "817-549-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "MICHELLE",
        "middle_name": "CHERI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F03190301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.