Denise Ann Pack, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1105740 Issued in TX

Practice address

13140 Coit Rd Ste 315
Dallas, TX 75240-5753

Phone

(214) 272-7829

Fax

(972) 777-9896

NPI assigned

Jan 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

49.67 of 100Reported as group

Quality

78.05

Improvement activities

0

Cost

42.32

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.

• Almighty Palliative Care LLC

  • Nurse Practitioner
  • Frisco, TX
  • NPI 1740176486
  Medicare reassignment NPD
• One Point Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1770240392
  Medicare reassignment NPD
• Sunnyssix, PLLC

  • Gerontology Nurse Practitioner
  • Carrollton, TX
  • NPI 1972016384
  Medicare reassignment NPD
• Ry Jay Z LLC

  • General Practice Physician
  • Sherman, TX
  • NPI 1760047617
  NPD (past)

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1124732185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 PARKERSBURG DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445719",
            "telephone_number": "720-273-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13140 COIT RD STE 315",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405753",
            "telephone_number": "214-272-7829",
            "fax_number": "972-777-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1105740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "0000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajay Pachipulusu
• Panayotis Pachnis
• Thomas Pacicco, M.D.
• Pacific Access
• Pacifica Harborview-Kessler LLC
• Taylor Maria Pack, PA
• Dighton C. Packard, M.D.
• Milton Packer, MD
• Paco Medical Equipment & Supplies Inc.
• Udaya Bhaskar Padakandla, MD

• Gerontology Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.