Annie Addison, FNP-BC, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP121579 Issued in TX

Practice address

3121 S Carrier Pkwy
Grand Prairie, TX 75052-3734

Phone

(972) 266-5354

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Accura Health II LLCGroup PAC ID 7911303391, 7 clinicians

Contemporary Medicine Associates, PLLCGroup PAC ID 6002964285, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amcare Pro Home Health Home health agency, Richardson, TX, CCN 747770

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHJDD/Endpoint/AEHJDD

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.

• Contemporary Medicine Associates, PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Bellaire, TX
  • NPI 1750503553
  Medicare reassignment Care Compare group NPD
• Dal Post Acute Partners, PLLC

  dba Accura Health MC

  • Internal Medicine Physician
  • Richardson, TX
  • NPI 1174298350

  Family

  Medicare reassignment Care Compare group NPD
• Ronald N Skufca DO PA

  dba Healthcare Clinics

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1558433250
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Izen Healthcare Services Inc.

  dba Amcare Pro Home Health

  • Home Health Agency
  • Richardson, TX
  • NPI 1447427125
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1235489535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SEIDER LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522697",
            "telephone_number": "214-886-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 S CARRIER PKWY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523734",
            "telephone_number": "972-266-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6565 West Loop S Ste 525",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774013519",
            "country_code": "US",
            "telephone_number": "713-661-7888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "ANNIE",
        "credential": "FNP-BC, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acute Inpatient Care PLLC
• Acute Provider Services PLLC
• Alexandra Patricia Adams, LPC-A
• Tynisa Adams
• Addismind PLLC
• Adeola Aminat Adebayo, PMHNP
• Husseinat Kehinde Adebayo, MSN, APRN, PMHNP
• Mariam Adebisi
• Adebowale Alao Adedeji, OWNER/CEO
• Samuel Adekunle Adefeyisan, MD

• Family Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.

Verify at the official NPI Registry.