Individual provider Active NPI

John Calvin Reed IV, AGACNP

  • Acute Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1083597637
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1226686 Issued in TX
Practice address
2800 E Broad St Ste 500
Mansfield, TX 76063-6416
Phone
(682) 900-4174
Fax
(682) 900-4175
NPI assigned
Jul 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1226686 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 500
Mansfield, TX 76063-6416

Mailing address

1912 Thousand Oaks Dr
Burleson, TX 76028-3228
Phone (682) 557-9278

Other practice location 1

11801 South Fwy
Burleson, TX 76028-7021
Phone (682) 557-9278

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
I20260223002986 TX Practitioner - Nurse Practitioner 3476034968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 Gemini Cir
Suite 404
Homewood, AL 35209-5850

PO Box
Suite 468
Shannon, AL 35142

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1226686TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Critical Care Professionals CurrentSince Feb 9, 2026 Accepting new patients

Locations

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

9330 Poppy Dr
Ste 300
Dallas, TX 75218
Phone (214) 324-2471

2800 E Broad St
Ste 500
Mansfield, TX 76063
Phone (682) 900-4174

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1083597637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 THOUSAND OAKS DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283228",
            "telephone_number": "682-557-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 500",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636416",
            "telephone_number": "682-900-4174",
            "fax_number": "682-900-4175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11801 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287021",
            "country_code": "US",
            "telephone_number": "682-557-9278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "JOHN",
        "middle_name": "CALVIN",
        "name_suffix": "IV",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1226686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.