Active NPI
Kelsey Becker Adams, FNP-C
- Primary Care Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP135591
- 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
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 |
|---|---|---|---|---|
| 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
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, PLLCWellmed Medical Group PAChristine Holland, M.D., P. a.
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP135591 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Current | Accepting new patients | |
| Medical Clinic of North Texas, PLLC | Current | Accepting new patients | |
| Wellmed Medical Group, P.a. | Current | Accepting new patients | |
| Medical Clinic of North Texas PLLC | Current | 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
- kelsey.adams@wellmed.eclinicaldirectplus.com
- 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.
-
- Family Medicine Physician
- Las Cruces, NM
- NPI 1659679157
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- Internal Medicine Physician
- Irving, TX
- NPI 1538117742
-
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.