Individual provider Active NPI

Lee Ann Brocato, N.P.

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1215365119
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129496 Issued in TX
Practice address
500 S Henderson St Ste 200
Ft Worth, TX 76104-2154
Phone
(817) 413-1500
Fax
(817) 413-1499
NPI assigned
Oct 31, 2013
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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 AP129496 TX Primary

Addresses

Primary practice location

500 S Henderson St Ste 200
Ft Worth, TX 76104-2154

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other names 1

  • Lee Ann Maranto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140205000361 LA Practitioner - Nurse Practitioner 4688803059 Reassigns benefits to 2 organizations
I20160314002476 TX Practitioner - Nurse Practitioner 4688803059 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
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

500 S Henderson St
Suite 200
Fort Worth, TX 76104-2154
Phone (817) 413-1500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Apr 1, 2020 Accepting new patients
Texas Oncology PA CurrentSince Aug 28, 2023 Accepting new patients
University Health Shreveport LLC CurrentSince Apr 1, 2020 Accepting new patients
University Health Shreveport LLC CurrentSince Apr 1, 2020 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Aug 28, 2023 Accepting new patients

Locations

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

500 S Henderson St
Ste 200
Ft Worth, TX 76104
Phone (817) 413-1500

6500 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 263-2600

Interoperability endpoints

  • Direct secure messaging: lee.brocato@txo.ikm.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1383177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1215365119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S HENDERSON ST STE 200",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761042154",
            "telephone_number": "817-413-1500",
            "fax_number": "817-413-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCATO",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-31",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "MARANTO",
            "middle_name": "ANN",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.