Individual provider Active NPI

Fiona Mao, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1235665878
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
133950 Issued in TX
Practice address
12650 N Beach St Ste 114
Fort Worth, TX 76244-4245
Phone
(682) 343-5621
NPI assigned
May 2, 2017
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 876142 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 133950 TX Primary

Addresses

Primary practice location

12650 N Beach St Ste 114
Fort Worth, TX 76244-4245

Mailing address

12650 N Beach St Ste 114
Fort Worth, TX 76244-4245
Phone (682) 343-5621

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
I20170623001918 TX Practitioner - Nurse Practitioner 3274801790 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Supportive Care of Texas PCGroup PAC ID 1658744503, 28 clinicians

Practice addresses (Care Compare)

825 W Kearney St
Mesquite, TX 75149-3206
Phone (866) 708-1240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
876142TXMDFamily Nurse Practitioner
133950TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of Texas, P.a. Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Supportive Care of Texas PC CurrentSince Jul 1, 2024 Accepting new patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Aug 26, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 24, 2024 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Aug 26, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
NV Pacs 2 LLC CurrentSince Aug 26, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Jul 7, 2020 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Clarity Mind and Integrative Wellness PLLC Psychiatric/Mental Health Current Accepting new patients

Locations (25 of 27)

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1115 Anderson St
College Station, TX 77840
Phone (979) 693-1515

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

7100 Trail Lake Dr
Ft Worth, TX 76123
Phone (214) 363-5100

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

619 N Britain Rd
Irving, TX 75061
Phone (972) 438-4161

25150 Lakecrest Manor Dr
Katy, TX 77493
Phone (281) 347-8200

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

1620 Highway 59 Loop N
Livingston, TX 77352
Phone (936) 327-5415

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

4006 Vista Rd
Pasadena, TX 77504
Phone (713) 943-1592

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-8573

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1235665878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST STE 114",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444245",
            "telephone_number": "682-343-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST STE 114",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444245",
            "telephone_number": "682-343-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "FIONA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "876142",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "133950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.