Individual provider Active NPI

Mariah A Walton, MSN, FNP-C

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1073933305
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125289 Issued in TX
Practice address
3303 Colorado Blvd
Denton, TX 76210-6812
Phone
(940) 484-1887
Fax
(940) 591-0458
NPI assigned
Apr 25, 2014
Last updated
Apr 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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 AP125289 TX Primary

Addresses

Primary practice location

3303 Colorado Blvd
Denton, TX 76210-6812

Mailing address

3303 Colorado Blvd
Denton, TX 76210-6812
Phone (940) 484-1887

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
I20151019001002 TX Practitioner - Nurse Practitioner 6406165224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family NPS of North TexasGroup PAC ID 7517214331, 4 clinicians
Jaspaul S. Bhangoo, MD, PAGroup PAC ID 8921186347, 2 clinicians

Practice addresses (Care Compare)

1235 S Hwy 377
Suite a
Pilot Point, TX 76258-4385
Phone (940) 686-6277

3323 Colorado Blvd
Suite 101
Denton, TX 76210-6895
Phone (940) 891-6066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jaspaul S. Bhangoo, M.D., P.a, CurrentSince Jan 7, 2024 Accepting new patients

Locations

3323 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (940) 566-2358

Interoperability endpoints

  • Direct secure messaging: ms_mwalto24@landmarkhealth-direct.org

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 2

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": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1073933305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MARIAH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.