Dessarae Lockhart, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F05230482 Issued in TX

Practice address

2304 Highway 121
Bedford, TX 76021-5985

Phone

(214) 970-6817

Fax

(844) 803-4513

NPI assigned

Jun 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dessarae Corbitt Former name

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tanisha a Toaston DO PAGroup PAC ID 3577752898, 2 clinicians

Physiatry Associates of Texas PLLCGroup PAC ID 0840565560, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.26 of 100Reported as virtual group

Quality

78.87

Improvement activities

40

Cost

39.04

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Physiatry Associates of Texas PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dallas, TX
  • NPI 1962943365
  Medicare reassignment Care Compare group NPD
• Tanisha a Toaston DO PA

  • Spinal Cord Injury Medicine Physician
  • Bedford, TX
  • NPI 1538477088
  Medicare reassignment Care Compare group NPD
• Pain and Headache Center, LLC

  • Interventional Pain Medicine Physician
  • Wasilla, AK
  • NPI 1518300185

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1114602786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 N 400 E # 164",
            "city": "NORTH OGDEN",
            "state": "UT",
            "postal_code": "844142240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215985",
            "telephone_number": "214-970-6817",
            "fax_number": "844-803-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "DESSARAE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F05230482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESSARAE",
            "last_name": "CORBITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valery N Lipenko, MD
• Minghuei Z. Liu, DACM, L. AC.
• Palmila Liu, MD
• Angel Livingston, APRN, FNP-C
• Ryan Kent Lloyd, LMFT, LCDC
• Cory Alan Logan, PA-C
• Nikki Long, M.D.
• Ruth Ann Long, LPC-S
• Lonnie G. Adian & Associates, LLP (Lonnie G. Adian, CRNA)
• Annamarie Lopez

• Family Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.