Individual provider Active NPI

Michelle Bryant

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1265198097
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
PENDING Issued in TX
Practice address
8277 Belleview Dr Ste 275
Plano, TX 75024-0603
Phone
(469) 365-2225
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 PENDING TX Primary

Addresses

Primary practice location

8277 Belleview Dr Ste 275
Plano, TX 75024-0603

Mailing address

3928 Collinwood Ave
Fort Worth, TX 76107-4427
Phone (469) 223-1883

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
I20211209003002 TX Practitioner - Nurse Practitioner 0143610923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1325 Pennsylvania Ave
Suite 370
Fort Worth, TX 76104-2110

6913 Camp Bowie Blvd
Suite 171
Fort Worth, TX 76116-7163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGTXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Palliative Services PA CurrentSince Nov 4, 2024 Accepting new patients
Texas Palliative Services PA CurrentSince Nov 4, 2024 Accepting new patients
Texas Palliative Services PA PastSince Jul 21, 2024 Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

16633 Dallas Pkwy
Ste 425
Addison, TX 75001
Phone (469) 365-2225

3516 NE Stallings Dr
Ste B
Nacogdoches, TX 75965
Phone (936) 585-6140

8277 Belleview Dr
Ste 275
Plano, TX 75024
Phone (469) 365-2225

Organizations & group practices 4

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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1265198097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 COLLINWOOD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074427",
            "telephone_number": "469-223-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8277 BELLEVIEW DR STE 275",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240603",
            "telephone_number": "469-365-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.