Individual provider Active NPI

Heather A Medaris

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1316566599
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP145146 Issued in TX
Practice address
4600 Teasley LN
Denton, TX 76210-3405
Phone
(940) 307-1020
Fax
(940) 307-0020
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 AP145146 TX Primary

Addresses

Primary practice location

4600 Teasley LN
Denton, TX 76210-3405

Mailing address

4600 Teasley LN
Denton, TX 76210-3405
Phone (940) 307-1020

Other practice location 1

2800 Frontier Dr
Denton, TX 76210-1200
Phone (251) 504-4530

Other names 1

  • Heather A Long Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmedaris2090557@Direct.Texashealth.org Health Information Exchange (HIE)

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
I20200622001057 TX Practitioner - Nurse Practitioner 5496177420 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

4600 Teasley LN
Denton, TX 76210-3405
Phone (940) 307-1020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care CurrentSince Jun 1, 2025 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Doctors Urgent Care of Northlake PLLC CurrentSince Aug 14, 2023 Accepting new patients
Christine Holland MD PA CurrentSince Feb 1, 2023 Accepting new patients
Texas Health Urgent Care Family CurrentSince Jun 1, 2025 Accepting new patients
Health Express Clinics Network PLLC CurrentSince Aug 1, 2020 Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

1212 N Josey Ln
Ste 110
Carrollton, TX 75006
Phone (469) 294-1402

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

4600 Teasley Ln
Denton, TX 76210
Phone (940) 307-1020

1234 FM 407 W
Ste 200
Northlake, TX 76226
Phone (940) 222-5215

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: hmedaris2090557@direct.texashealth.org

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1316566599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103405",
            "telephone_number": "940-307-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 TEASLEY LN",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103405",
            "telephone_number": "940-307-1020",
            "fax_number": "940-307-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 Frontier Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762101200",
            "country_code": "US",
            "telephone_number": "251-504-4530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDARIS",
        "first_name": "HEATHER",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmedaris2090557@Direct.Texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4600 Teasley Ln",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762103405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LONG",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.