Nicole Marie Culp, NP
Individual provider Active NPI Family Nurse Practitioner · Fort Worth, TX
NPI 1033727003 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1033727003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1003345 (TX)
- Practice address
- 5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448 - Phone
- (817) 732-2878
- NPI assigned
- Jul 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Texas Health Physicians Group
Practice addresses (Care Compare)
5750 W Vickery Blvd
Suite 104
Fort Worth, TX 76107-7448
Phone (817) 732-2878
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 |
|---|---|---|---|---|
| I20200810000481 | TX | Practitioner - Nurse Practitioner | 5496170326 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003345 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current |
Accepting new patients | |
| Texas Health Physicians Group | Current |
Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Acton Medical Clinic PA | Current |
Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
5750 W Vickery Blvd
Ste 104
Fort Worth, TX 76107
Phone (817) 732-2878
2006 Fall Creek Hwy
Granbury, TX 76049
Phone (817) 326-3440
2331 W Shady Grove Rd
#100
Irving, TX 75060
Phone (817) 326-3440
Interoperability endpoints
- nculp2566447@direct.texashealth.org
- https://fhir4.healow.com/fhir/r4/BABHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1003345 | TX | Yes |
| Nurse Practitioner | 363L00000X | 1003345 | TX |
Addresses
Primary practice location
5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448
Mailing address
5750 W Vickery Blvd Ste 104
Fort Worth, TX 76107-7448
Phone (817) 322-8787
Other practice location 1
2006 Fall Creek Hwy
Granbury, TX 76049-7913
Phone (817) 326-3440
Other practice location 2
431 E State Highway 114 Ste 120
Southlake, TX 76092-4416
Phone (817) 518-1112
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nculp2566447@Direct.TexasHealth.org |
Other providers in Fort Worth, TX
- Sarah Cuddihee
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- Jennifer Cuellar
- Richard James Cuellar
- Kellie Lee Cullen
- Cultivation Clinical Services PLLC
- Cumberland Rest Inc
- Patricia Lynn Cumer
- Baylee Yvonne Cuming
- Anne M Cummings-Bridge
All providers in Fort Worth, TX · Family 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 Oct 10, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.