Individual provider Active NPI

Michelle Oyenekan

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1073126595
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1004839 Issued in TX
Practice address
3614 Camp Bowie Blvd
Fort Worth, TX 76107-3352
Phone
(817) 870-1873
NPI assigned
Aug 25, 2020
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 1004839 TX Primary

Addresses

Primary practice location

3614 Camp Bowie Blvd
Fort Worth, TX 76107-3352

Mailing address

3614 Camp Bowie Blvd
Fort Worth, TX 76107-3352
Phone (866) 389-2727

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
I20201013001558 TX Practitioner - Nurse Practitioner 6002236007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Value Urgent Care Clinics of Texas PLLCGroup PAC ID 4082997861, 4 clinicians
Brian Nelson MD PLLCGroup PAC ID 6800221110, 2 clinicians

Practice addresses (Care Compare)

1208 W Henderson St
Cleburne, TX 76033-8731
Phone (682) 317-1500

1450 W Pleasant Run Rd
104B Family Practice TX
Lancaster, TX 75146-3740
Phone (682) 549-8333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Value Urgent Care Clinics of Texas PLLC CurrentSince Oct 1, 2021 Accepting new patients
Brian Nelson MD PLLC CurrentSince Sep 27, 2025 Accepting new patients

Locations

8735 Benbrook Blvd
Ste 8735A
Benbrook, TX 76126
Phone (682) 301-3400

111 Hyde Park Blvd
Ste 100
Cleburne, TX 76033
Phone (682) 317-1193

1208 W Henderson St
Cleburne, TX 76033
Phone (682) 317-1500

1208 W Henderson St
#C
Cleburne, TX 76033

1208 W Henderson St
Ste A
Cleburne, TX 76033
Phone (682) 317-1500

1208 W Henderson St
Ste C
Cleburne, TX 76033
Phone (682) 317-1537

2401 Canton Dr
Ft Worth, TX 76112
Phone (682) 301-3400

1450 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 726-2073

1450 W Pleasant Run Rd
Ste 104
Lancaster, TX 75146
Phone (469) 726-2073

1450 W Pleasant Run Rd
Ste 104B
Lancaster, TX 75146
Phone (682) 549-8333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1073126595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073352",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073352",
            "telephone_number": "817-870-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYENEKAN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-02-01",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1004839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.