Individual provider Active NPI

Terry Chris Erwin, FNP

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1114355641
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
652586 Issued in TX
Practice address
109 NW 2ND St
Mineral Wells, TX 76067-4940
Phone
(940) 654-6200
Fax
(940) 325-2202
NPI assigned
Oct 18, 2013
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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 652586 TX Primary

Addresses

Primary practice location

109 NW 2ND St
Mineral Wells, TX 76067-4940

Mailing address

109 NW 2ND St
Mineral Wells, TX 76067-4940
Phone (940) 654-6200

Other names 1

  • Chris Erwin Professional name

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
I20140430001474 TX Practitioner - Nurse Practitioner 5092948927 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
Erwin Health Care, IncGroup PAC ID 8729384698, 2 clinicians

Practice addresses (Care Compare)

109 NW 2ND St
Mineral Wells, TX 76067-4940
Phone (940) 654-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erwin Health Care, Inc. Family CurrentSince Feb 1, 2016 Accepting new patients

Locations

109 NW 2nd St
Mineral Wells, TX 76067
Phone (940) 654-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1114355641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NW 2ND ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674940",
            "telephone_number": "940-654-6200",
            "fax_number": "940-325-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NW 2ND ST",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760674940",
            "telephone_number": "940-654-6200",
            "fax_number": "940-325-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "TERRY",
        "middle_name": "CHRIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "652586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "ERWIN",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.