Individual provider Active NPI

Rebecca Munzon

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1083159388
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132833 Issued in TX
Practice address
1050 W Arkansas LN Ste 150
Arlington, TX 76013-6308
Phone
(817) 702-1100
Fax
(817) 702-4801
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9476749 FL
Family Nurse Practitioner 363LF0000X AP132833 TX Primary

Addresses

Primary practice location

1050 W Arkansas LN Ste 150
Arlington, TX 76013-6308

Mailing address

1305 N Orange Ave
Ste 120-123
Green Cove Springs, FL 32043-2547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170502000333 TX Practitioner - Nurse Practitioner 0143507012 Reassigns benefits to 1 organization
I20180720001032 FL Practitioner - Nurse Practitioner 0143507012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1050 W Arkansas LN
Suite 150
Arlington, TX 76013-6308
Phone (817) 702-3567

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9476749FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Mar 12, 2017 Accepting new patients
Rural Health Care, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Rural Health Care Incorporated Current Accepting new patients
Rural Health Care Incorporated CurrentSince Jan 12, 2019 Accepting new patients

Locations

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

1050 W Arkansas Ln
Arlington, TX 76013
Phone (817) 277-6555

1050 W Arkansas Ln
Ste 150
Arlington, TX 76013
Phone (817) 702-3567

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

3308 Deen Rd
Ft Worth, TX 76106
Phone (817) 702-1819

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1083159388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N ORANGE AVE",
            "address_2": "STE 120-123",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320432547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 W ARKANSAS LN STE 150",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760136308",
            "telephone_number": "817-702-1100",
            "fax_number": "817-702-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNZON",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9476749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.