Individual provider Active NPI

Ron Philipose, FNP

  • Family Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1063995660
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138733 Issued in TX
Practice address
500 W Main St
Lewisville, TX 75057-3641
Phone
(972) 420-1000
Fax
(817) 284-9859
NPI assigned
Sep 10, 2018
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 AP138733 TX Primary

Addresses

Primary practice location

500 W Main St
Lewisville, TX 75057-3641

Mailing address

PO Box 678219
Dallas, TX 75267-8219
Phone (817) 284-9850

Other practice location 1

1001 N Waldrop Dr Ste 811
Arlington, TX 76012-4715
Phone (214) 345-4160

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
I20181004000801 TX Practitioner - Nurse Practitioner 2668724501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell C Lam MD PAGroup PAC ID 1951459080, 12 clinicians
Healing Hands Wound Clinic LLCGroup PAC ID 1052754652, 2 clinicians

Practice addresses (Care Compare)

1001 N Waldrop Dr
Suite 811
Arlington, TX 76012-4715
Phone (214) 345-4160

1900 Matlock Rd
Mansfield, TX 76063-4391
Phone (817) 380-4880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.26 of 100Reported as virtual group
Quality
78.87
Improvement activities
40
Cost
39.04

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Wound Clinic LLC Family CurrentSince Dec 15, 2023 Accepting new patients

Locations

1900 Matlock Rd
Ste 304
Mansfield, TX 76063
Phone (469) 620-0222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFDJDD/Endpoint/IFDJDD

Organizations & group practices 2

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1063995660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678219",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678219",
            "telephone_number": "817-284-9850",
            "fax_number": "817-284-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "972-420-1000",
            "fax_number": "817-284-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Waldrop Dr Ste 811",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760124715",
            "country_code": "US",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILIPOSE",
        "first_name": "RON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.