Individual provider Active NPI

Kelsey Becker Adams, FNP-C

  • Primary Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1285149385
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP135591 Issued in TX
Practice address
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514
Phone
(817) 334-1400
Fax
(817) 334-1410
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP135591 TX Primary

Addresses

Primary practice location

5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514

Mailing address

5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514
Phone (817) 334-1400

Other names 1

  • Kelsey Suzanne Becker Former name

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
I20180123001803 TX Practitioner - Nurse Practitioner 1456610351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLC 212 clinicians
Wellmed Medical Group PA 666 clinicians
Christine Holland, M.D., P. a. 30 clinicians

Practice addresses (Care Compare)

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

4401 Park Springs Blvd
Suite 100
Arlington, TX 76017-1899
Phone (817) 807-9060

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100

800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135591TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Jan 22, 2018 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Jan 22, 2018 Accepting new patients
Medical Clinic of North Texas, PLLC Current Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

12608 South Fwy
Ste 140
Burleson, TX 76028
Phone (817) 295-7214

434 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 447-1208

5450 Clearfork Main St
Ste 300
Fort Worth, TX 76109
Phone (817) 334-1400

8030 Camp Bowie West Blvd
Ft Worth, TX 76116
Phone (817) 244-4620

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • Direct secure messaging: kelsey.adams@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1285149385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093514",
            "telephone_number": "817-334-1400",
            "fax_number": "817-334-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093514",
            "telephone_number": "817-334-1400",
            "fax_number": "817-334-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KELSEY",
        "middle_name": "BECKER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP135591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BECKER",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.