Active NPI
Eduard Cristian Petreaca, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1013875368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1222680
- Practice address
- 4941 Golden Triangle Blvd Ste 911
Fort Worth, TX 76244-4456 - Phone
- (817) 779-3716
- NPI assigned
- Jan 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1222680 | TX | Primary |
Addresses
Primary practice location
4941 Golden Triangle Blvd Ste 911
Fort Worth, TX 76244-4456
Mailing address
1936 Paris Ave
Plano, TX 75025-3143
Phone (469) 500-8284
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1936 Paris Ave
Plano, TX 75025-3143
PO Box
Suite 93161
Southlake, TX 76092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1222680 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Psychiatry Inc | Single Specialty | Current | Accepting new patients |
Locations
4941 Golden Triangle Blvd
Ste 911
Fort Worth, TX 76244
Phone (817) 779-3716
Organizations & group practices 1
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": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1013875368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 PARIS AVE",
"city": "PLANO",
"state": "TX",
"postal_code": "750253143",
"telephone_number": "469-500-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4941 GOLDEN TRIANGLE BLVD STE 911",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762444456",
"telephone_number": "817-779-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETREACA",
"first_name": "EDUARD",
"middle_name": "CRISTIAN",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1222680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.