Neurosurgical and Spine Consultants, PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEUROSURGICAL AND SPINE CONSULTANTS, PA

Practice address

1001 12TH Ave Ste 171
Fort Worth, TX 76104-3926

Phone

(817) 576-6500

Fax

(682) 703-2064

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Cristyl Chance

Title

Practice Manager

Phone

(817) 715-0409

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neurosurgical & Spine Consultants, PA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neurosurgical and Spine Consultants, PA

  • Specialist
  • Ft Worth, TX
  • NPI 1558754705

  O20040113000584

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Milton, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1710542204
  Medicare reassignment NPD
• Reuben Kuan-Chun Chen, MD

  • Physical Medicine & Rehabilitation Physician
  • Torrance, CA
  • NPI 1083888069

  TX

  Medicare reassignment NPD
• Porsha Adelle Chillis, PA-C

  • Physician Assistant
  • Dallas, TX
  • NPI 1669042198
  Medicare reassignment
• Diana Elizabeth Wilson, M.D.

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1538152400
  Medicare reassignment
• Meredith Leigh Thomas, PA-C

  • Surgical Physician Assistant
  • Melbourne, FL
  • NPI 1093888224
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1164547733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-576-6500",
            "fax_number": "682-703-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 12TH AVE STE 171",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043926",
            "telephone_number": "817-576-6500",
            "fax_number": "682-703-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Pennsylvania Ave Ste 440",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042128",
            "country_code": "US",
            "telephone_number": "817-878-5491",
            "fax_number": "817-878-5492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROSURGICAL AND SPINE CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "CRISTYL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "817-715-0409"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129595806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgical & Spine Consultants, PA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurosurgical & Spine Consultants, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neurohealth Monitoring LLC
• Neurological Center of Excellence
• Neurological Recovery for the Armed Services
• Neurological Services of Texas, P.a.
• Neurology Associates of Fort Worth
• Neurosurgical and Spine Consultants, PA
• Neurosurgical Associates of North Texas PLLC
• Neurosynaptic Monitoring LLC
• Matthew Nevarez, PT
• Amber N Nevels, DC

• Specialist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.