Individual provider Active NPI

Pauline Winsome McLarty-Nevers, ACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1194152959
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
654559 Issued in TX
Practice address
7777 Forest Lane,
Building B, Suite 200
Dallas, TX 75320
Phone
(972) 566-8900
NPI assigned
Oct 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 654559 TX Primary

Addresses

Primary practice location

7777 Forest Lane,
Building B, Suite 200
Dallas, TX 75320

Mailing address

1601 Lancaster Dr
Grapevine, TX 76051-2109
Phone (817) 576-6665

Other names 1

  • Pauline McLarty-Nevers Professional 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
I20170427000294 TX Practitioner - Nurse Practitioner 3577840669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CSH Corp.Group PAC ID 5395234199, 15 clinicians

Practice addresses (Care Compare)

Dallas, TX 75238
Phone (972) 798-8001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
654559TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CSH Corp. CurrentSince Oct 2, 2025 Accepting new patients

Locations

10935 Estate Ln
#S427
Dallas, TX 75238
Phone (817) 350-7040

13509 Lyndon B Johnson Fwy
Ste 200
Garland, TX 75041
Phone (469) 898-3694

Organizations & group practices 1

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": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1194152959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 LANCASTER DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512109",
            "telephone_number": "817-576-6665",
            "fax_number": "817-576-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE,",
            "address_2": "BUILDING B, SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75320",
            "telephone_number": "972-566-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLARTY-NEVERS",
        "first_name": "PAULINE",
        "middle_name": "WINSOME",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "654559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULINE",
            "last_name": "MCLARTY-NEVERS",
            "credential": "ACNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.