Individual provider Active NPI

Amanda Michelle Mooney, FNP

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1215356001
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125403 Issued in TX
Practice address
2501 Scripture St Ste 303
Denton, TX 76201-2314
Phone
(940) 323-3450
Fax
(940) 323-3451
NPI assigned
Apr 9, 2014
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 AP125403 TX Primary

Addresses

Primary practice location

2501 Scripture St Ste 303
Denton, TX 76201-2314

Mailing address

2501 Scripture St Ste 303
Denton, TX 76201-2314
Phone (940) 323-3450

Other identifiers 1

IdentifierTypeStateIssuer
341018501MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amooney24693@Direct.TexasHealth.org Health Information Exchange (HIE)

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
I20141203000350 TX Practitioner - Nurse Practitioner 5092037036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

2501 Scripture St
Suite 303
Denton, TX 76201-2314
Phone (940) 323-3450

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2017 Accepting new patients

Locations

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

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

2501 Scripture St
Ste 303
Denton, TX 76201
Phone (940) 323-3450

Interoperability endpoints

  • Direct secure messaging: amooney24693@direct.texashealth.org

Organizations & group practices 3

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1215356001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 SCRIPTURE ST STE 303",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012314",
            "telephone_number": "940-323-3450",
            "fax_number": "940-323-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SCRIPTURE ST STE 303",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012314",
            "telephone_number": "940-323-3450",
            "fax_number": "940-323-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341018501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amooney24693@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2501 Scripture St Ste 303",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762012314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.