Individual provider Active NPI

Michelle Marie Nash, NP

  • Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1174853154
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
836228 Issued in TX
Practice address
909 9TH Ave
Suite 300
Ft Worth, TX 76104-3903
Phone
(817) 336-7191
Fax
(817) 820-0240
NPI assigned
Jan 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN148424 GA
Nurse Practitioner 363L00000X 836228 TX Primary

Addresses

Primary practice location

909 9TH Ave
Suite 300
Ft Worth, TX 76104-3903

Mailing address

909 9TH Ave
Suite 300
Fort Worth, TX 76104-3903
Phone (817) 336-7191

Other names 1

  • Michelle Chase Jordan Former name

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
I20170712002171 TX Practitioner - Nurse Practitioner 0648315895 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Emergency Services Physician Group PAGroup PAC ID 0749447936, 71 clinicians

Practice addresses (Care Compare)

1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.56
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.59 of 100Reported as group
Quality
74.14
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
836228TXMDNurse Practitioner
RN148424GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group PA CurrentSince May 30, 2017 Accepting new patients
Huguley Medical Associates CurrentSince Dec 3, 2018 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Nov 20, 2017 Accepting new patients
Albany Pulmonary and Critical Care, P.C. Past Accepting new patients
Southwestern Emergency Physicians PC Past Accepting new patients
Phoebe Physician Group, Inc Past Accepting new patients

Locations

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

11797 South Fwy
Ste 242
Burleson, TX 76028
Phone (817) 568-1981

795 E FM 1187
Ste A
Crowley, TX 76036
Phone (817) 293-9631

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

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

800 5th Ave
Ste 300
Ft Worth, TX 76104
Phone (817) 334-1400

Interoperability endpoints

  • Direct secure messaging: mnash1221701@adventhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1174853154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-336-7191",
            "fax_number": "817-877-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE",
            "address_2": "SUITE 300",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043903",
            "telephone_number": "817-336-7191",
            "fax_number": "817-820-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN148424",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "836228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JORDAN",
            "middle_name": "CHASE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.