Individual provider Active NPI

Mary Lonsberry, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1023815321
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1191519 Issued in TX
Practice address
5612 Edwards Ranch Rd
Fort Worth, TX 76109-4145
Phone
(817) 993-4226
NPI assigned
Feb 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 1191519 TX Primary

Addresses

Primary practice location

5612 Edwards Ranch Rd
Fort Worth, TX 76109-4145

Mailing address

1821 Silverton Dr
Lantana, TX 76226-2589

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
I20250416003512 TX Practitioner - Nurse Practitioner 6204351778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

5612 Edwards Ranch Rd
Fort Worth, TX 76109-4138
Phone (817) 991-1745

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Feb 24, 2025 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Feb 24, 2025 Accepting new patients

Locations

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

5612 Edwards Ranch Rd
Ste 200
Fort Worth, TX 76109
Phone (901) 409-5994

5612 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 420-9238

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

1429 Clear Lake Rd
Ste 100
Weatherford, TX 76086
Phone (682) 207-5776

Interoperability endpoints

  • Direct secure messaging: mary.lonsberry.p1@direct.thc.nextgenshare.com

Organizations & group practices 3

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1023815321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 SILVERTON DR",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762262589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 EDWARDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094145",
            "telephone_number": "817-993-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONSBERRY",
        "first_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1191519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.