Individual provider Active NPI

Pamela S Whitener, NP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1184643744
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
537428 Issued in TX
Practice address
7001 Granbury Rd
Fort Worth, TX 76133-5912
Phone
(817) 346-1925
Fax
(817) 292-7237
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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 537428 TX Primary

Addresses

Primary practice location

7001 Granbury Rd
Fort Worth, TX 76133-5912

Mailing address

7001 Granbury Rd
Fort Worth, TX 76133-5912
Phone (817) 346-1925

Other identifiers 5

IdentifierTypeStateIssuer
170739001MedicaidTX
170739003MedicaidTX
170739004MedicaidTX
170739002MedicaidTX
170739005MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pwhitener88705@Direct.TexasHealth.org

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
I20040914000167 TX Practitioner - Nurse Practitioner 5597732107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

7001 Granbury Rd
Fort Worth, TX 76133-5912
Phone (817) 346-1925

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
537428TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2011 Accepting new patients
Shaun Kretzschmar DO PA Past Accepting new patients

Locations

317 N FM 1187
Aledo, TX 76008
Phone (817) 441-7181

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

9655 Red Dirt Rd
Fort Worth, TX 76123
Phone (682) 212-9101

7001 Granbury Rd
Fort Worth, TX 76133
Phone (817) 346-1925

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: pwhitener88705@direct.texashealth.org

Organizations & group practices 4

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 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1184643744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 GRANBURY RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335912",
            "telephone_number": "817-346-1925",
            "fax_number": "817-292-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 GRANBURY RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335912",
            "telephone_number": "817-346-1925",
            "fax_number": "817-292-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITENER",
        "first_name": "PAMELA",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "537428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170739001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170739003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170739004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170739002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170739005",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pwhitener88705@Direct.TexasHealth.org",
            "affiliation": "N",
            "address_1": "7001 Granbury Rd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761335912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.