Individual provider Active NPI

Kristina Simic Parsons, NP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1336338565
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP115286 Issued in TX
Practice address
900 W Magnolia Ave
Ste. 100
Fort Worth, TX 76104-8517
Phone
(817) 870-7300
Fax
(817) 332-8372
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 632651 TX
Acute Care Nurse Practitioner 363LA2100X AP115286 TX Primary

Addresses

Primary practice location

900 W Magnolia Ave
Ste. 100
Fort Worth, TX 76104-8517

Mailing address

1617 Hemphill St
Fort Worth, TX 76104-4709
Phone (817) 702-3367

Other names 1

  • Kristina Simic Former name

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
I20080417000078 TX Practitioner - Nurse Practitioner 3577641539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

2618 E Bankhead Hwy
U.S. Dermatology Partners
Weatherford, TX 76087-9558
Phone (817) 594-5880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP115286TXMDAcute Care Nurse Practitioner
632651TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. CurrentSince Jan 17, 2022 Accepting new patients
Palindrome Medical, PLLC CurrentSince Oct 12, 2021 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Dermatology Associates Past Accepting new patients

Locations

4300 N Central Expy
Ste 235
Dallas, TX 75206
Phone (214) 775-2402

4447 N Central Expy
Ste 110
Dallas, TX 75205
Phone (214) 707-3634

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1617 Hemphill St
Ft Worth, TX 76104
Phone (817) 702-3381

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1314 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-7474

1314 Paluxy Rd
Ste 200
Granbury, TX 76048
Phone (817) 573-7474

2001 Rockview Dr
Granbury, TX 76049
Phone (682) 529-7800

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

2618 E Bankhead Hwy
Willow Park, TX 76087
Phone (817) 341-3016

Interoperability endpoints

  • Direct secure messaging: kristina@direct.meditouchehr.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kparsons@conger.emadirect.md

Organizations & group practices 4

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1336338565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044709",
            "telephone_number": "817-702-3367",
            "fax_number": "817-927-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W MAGNOLIA AVE",
            "address_2": "STE. 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761048517",
            "telephone_number": "817-870-7300",
            "fax_number": "817-332-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "KRISTINA",
        "middle_name": "SIMIC",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "632651",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP115286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "SIMIC",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.