Active NPI
Pamela S Whitener, NP
- Family Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 537428
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170739001 | Medicaid | TX | |
| 170739003 | Medicaid | TX | |
| 170739004 | Medicaid | TX | |
| 170739002 | Medicaid | TX | |
| 170739005 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Texas Health Harris Methodist Fort Worth
- Texas Health Huguley Hospital Fort Worth South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 537428 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Family Medicine Physician
- Aledo, TX
- NPI 1912379322
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1518355759
-
- General Acute Care Hospital
- Burleson, TX
- NPI 1033120423
-
- Psychiatric Hospital Unit
- Burleson, TX
- NPI 1548273881
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.