Individual provider Active NPI

Hannah Lachelle Bereuter, MPAS, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1326423278
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09857 Issued in TX
Practice address
1250 8TH Ave Ste 575
Fort Worth, TX 76104-4160
Phone
(682) 200-8580
Fax
(682) 200-8581
NPI assigned
Jul 21, 2015
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09857 TX Primary

Addresses

Primary practice location

1250 8TH Ave Ste 575
Fort Worth, TX 76104-4160

Mailing address

1250 8TH Ave Ste 575
Fort Worth, TX 76104-4160
Phone (682) 200-8580

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 645-8300

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
I20150918002151 TX Practitioner - Physician Assistant 4183931488 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Texas HSC, College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1600 W College St
Suite 490
Grapevine, TX 76051-2106
Phone (817) 310-0869

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortholonestar, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 30, 2025 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 20, 2015 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 20, 2015 Accepting new patients
Plastic Surgery Associates PA CurrentSince Aug 17, 2021 Accepting new patients
Ortholonestar, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 30, 2025 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

9301 N Central Expy
Ste 451
Dallas, TX 75231
Phone (214) 397-1570

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1250 8th Ave
Ste 265
Fort Worth, TX 76104
Phone (682) 200-8580

3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: hbereuter646307@direct.sw.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1326423278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 575",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044160",
            "telephone_number": "682-200-8580",
            "fax_number": "682-200-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE STE 575",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044160",
            "telephone_number": "682-200-8580",
            "fax_number": "682-200-8581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-645-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEREUTER",
        "first_name": "HANNAH",
        "middle_name": "LACHELLE",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.