Individual provider Active NPI

Melissa Burkett, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1316447642
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
136571 Issued in TX
Practice address
2550 River Park PLZ Ste 110
Fort Worth, TX 76116-0921
Phone
(817) 731-1289
NPI assigned
Feb 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 136571 TX Primary

Addresses

Primary practice location

2550 River Park PLZ Ste 110
Fort Worth, TX 76116-0921

Mailing address

2550 River Park PLZ Ste 110
Fort Worth, TX 76116-0921
Phone (817) 731-1289

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
I20180402001470 TX Practitioner - Nurse Practitioner 6608138623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quang Trong Le DO PAGroup PAC ID 6800850470, 12 clinicians

Practice addresses (Care Compare)

2550 River Park PLZ
Suite 110
Fort Worth, TX 76116-0921
Phone (817) 731-1289

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136571TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quang Trong Le DO PA Family CurrentSince Mar 1, 2018 Accepting new patients

Locations

2550 River Park Plz
Ste 110
Ft Worth, TX 76116
Phone (817) 731-1289

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1316447642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 RIVER PARK PLZ STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160921",
            "telephone_number": "817-731-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 RIVER PARK PLZ STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160921",
            "telephone_number": "817-731-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "MELISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "136571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.