Individual provider Active NPI

Nancy John, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1164941282
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133874 Issued in TX
Practice address
8200 Walnut Hill LN FL 5
Dallas, TX 75231
Phone
(214) 345-7500
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 AP133874 TX Primary

Addresses

Primary practice location

8200 Walnut Hill LN FL 5
Dallas, TX 75231

Mailing address

8200 Walnut Hill LN FL 5
Dallas, TX 75231-4426
Phone (214) 345-7500

Other practice location 1

462 Rockshire Dr
Sunnyvale, TX 75182
Phone (469) 236-7163

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
I20171204002251 TX Practitioner - Nurse Practitioner 0749547552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ira Boswell DO PLLCGroup PAC ID 9830403088, 2 clinicians
Dr Yuemeng Dai MD PHD PLLCGroup PAC ID 4183975600, 2 clinicians

Practice addresses (Care Compare)

2301 Marsh LN
Suite 200
Plano, TX 75093-8497
Phone (972) 899-5510

7930 Northaven Rd
Dallas, TX 75230-3331
Phone (214) 706-8384

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Boswell DO PLLC CurrentSince Jul 17, 2018 Accepting new patients
Dr. Yuemeng Dai MD PHD P.L.L.C. CurrentSince Aug 1, 2022 Accepting new patients
Rasika Rehab PLLC CurrentSince Jan 1, 2018 Accepting new patients
Premier Hospitalists of North Texas, PLLC PastSince Aug 2, 2020 Accepting new patients
PH Ops of Dallas LLC Past Accepting new patients

Locations

2304 Highway 121
Bedford, TX 76021
Phone (817) 684-2000

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

2301 Marsh Ln
Ste 200
Plano, TX 75093
Phone (972) 403-0403

Organizations & group practices 5

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1164941282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN FL 5",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314426",
            "telephone_number": "214-345-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN FL 5",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-345-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 Rockshire Dr",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "TX",
            "postal_code": "75182",
            "country_code": "US",
            "telephone_number": "469-236-7163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHN",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.