Beverly Kay Moeller, NP
Individual provider Active NPI Family Nurse Practitioner · Keller, TX
NPI 1326548652 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1326548652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP136301 (TX)
- Practice address
- 801 N Tarrant Pkwy
Keller, TX 76248-6860 - Phone
- (817) 428-5558
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180703000490 | TX | Practitioner - Nurse Practitioner | 6002162195 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Telehealth Services of Texas Association | Family | Current |
Accepting new patients |
| Swiftcare Urgent Care, PLLC | Current |
Accepting new patients |
Locations
1540 E Main St
Allen, TX 75002
Phone (214) 383-9765
5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820
601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161
1201 N Main St
Ste 600
Euless, TX 76039
Phone (682) 738-3460
3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964
801 North Tarrant Pkwy
Keller, TX 76248
Phone (817) 428-5446
7000 Justin Rd
Lantana, TX 76226
Phone (940) 584-0365
1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001
2712 Highway 365
Nederland, TX 77627
Phone (409) 721-5846
9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151
1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP136301 | TX | Yes |
Addresses
Primary practice location
801 N Tarrant Pkwy
Keller, TX 76248-6860
Mailing address
801 N Tarrant Pkwy
Keller, TX 76248-6860
Phone (817) 428-5558
Other providers in Keller, TX
- Renee Miphouvieng
- Amy Lachelle Mitchell
- Mobile Therapy Now
- Mason Allan Modad
- Michelle Nicole Moe-Aiken
- Moni Medical Group PLLC
- Robert John Montoya
- Amber Moon
- Brenda W. Moon
- Catherine R. Moore
All providers in Keller, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.