Individual provider Active NPI

Kristen Charleen Hartman, WHNP-BC

  • Women's Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1174087415
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
713638 Issued in TX
Practice address
505 Omega Dr
Arlington, TX 76014-2004
Phone
(817) 468-3255
NPI assigned
Jan 30, 2019
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 713638 TX Primary
Women's Health Nurse Practitioner 363LW0102X AP140644 TX

Addresses

Primary practice location

505 Omega Dr
Arlington, TX 76014-2004

Mailing address

8540 Scenic Green Cir Apt 5102
Fort Worth, TX 76244-8783

Other practice location 1

1201 S Main St
Fort Worth, TX 76104-4804
Phone (817) 702-6500

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
I20190401000132 TX Practitioner - Nurse Practitioner 9830430834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians
Macarthur Medical Center PLLCGroup PAC ID 8426102625, 26 clinicians

Practice addresses (Care Compare)

1201 S Main St
Fort Worth, TX 76104-4804
Phone (817) 702-6500

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

3501 N Macarthur Blvd
Suite 500
Irving, TX 75062-3675
Phone (972) 256-3700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140644TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Women's Health CurrentSince Oct 20, 2019 Accepting new patients
Macarthur Medical Center, PLLC Women's Health CurrentSince Oct 1, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Omega OB-GYN Associates of South Arlington Past Accepting new patients
Cristina V. Valdez, MD PA Past Accepting new patients
Urology Clinics of North Texas, PLLC PastSince Mar 1, 2019 Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

3025 N Tarrant Pkwy
Ste 150
Fort Worth, TX 76177
Phone (817) 416-2229

1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500

3095 Kingswood Blvd
Ste 250
Grand Prairie, TX 75052
Phone 2143582300 ext. 6225

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

3501 N MacArthur Blvd
Ste 600
Irving, TX 75062
Phone (214) 648-6250

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20865/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1174087415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SCENIC GREEN CIR APT 5102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142004",
            "telephone_number": "817-468-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044804",
            "country_code": "US",
            "telephone_number": "817-702-6500",
            "fax_number": "817-702-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "KRISTEN",
        "middle_name": "CHARLEEN",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "713638",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP140644",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.