Active NPI
Kenzie Reich, APRN, AGCNS-BC
- Adult Health Clinical Nurse Specialist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- AP135620
- Practice address
- 4012 Boyd Ave
Fort Worth, TX 76109-4546 - Phone
- (970) 420-7906
- NPI assigned
- Jan 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Clinical Nurse Specialist | 364SA2200X | AP135620 | TX | Primary |
Addresses
Primary practice location
4012 Boyd Ave
Fort Worth, TX 76109-4546
Mailing address
4012 Boyd Ave
Fort Worth, TX 76109-4546
Phone (970) 420-7906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP135620 | Other | TX | TEXAS BOARD OF NURSING APRN LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701
1350 S Main St
Suite 3200
Fort Worth, TX 76104-7669
Phone (817) 702-8400
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Current | Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients |
Locations
1400 S Main St
Ste 501
Fort Worth, TX 76104
Phone (817) 702-8400
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1811321797
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514851200000",
"number": "1265949168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 BOYD AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094546",
"telephone_number": "970-420-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 BOYD AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094546",
"telephone_number": "970-420-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "KENZIE",
"credential": "APRN, AGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-02",
"last_updated": "2018-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "AP135620",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING APRN LICENSE",
"identifier": "AP135620",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.