Individual provider Active NPI

Dan Lee Guerrero Mestril, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1033089313
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1216960 Issued in TX
Practice address
2741 Ellis Ave
Fort Worth, TX 76164-7131
Phone
(817) 386-9926
Fax
(817) 386-9907
NPI assigned
Nov 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1216960 TX Primary

Addresses

Primary practice location

2741 Ellis Ave
Fort Worth, TX 76164-7131

Mailing address

2741 Ellis Ave
Fort Worth, TX 76164-7131
Phone (817) 386-9926

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
I20260528002351 TX Practitioner - Nurse Practitioner 3779960174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2741 Ellis Ave
Fort Worth, TX 76164-7131

869 Round Robin LN
Fort Worth, TX 76131-4387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1216960TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Hispana del Metroplex LLC Single Specialty CurrentSince Nov 18, 2025 Accepting new patients

Locations

2741 Ellis Ave
Fort Worth, TX 76164
Phone (817) 386-9926

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": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1033089313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 ELLIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647131",
            "telephone_number": "817-386-9926",
            "fax_number": "817-386-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 ELLIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761647131",
            "telephone_number": "817-386-9926",
            "fax_number": "817-386-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO MESTRIL",
        "first_name": "DAN LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1216960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.