Individual provider Active NPI

Michael Elrod, FNP-C

  • Nurse Practitioner
  • Crowley, TX
National Provider Identifier
1356939334
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1018194 Issued in TX
Practice address
3521 Laurenwood Dr
Crowley, TX 76036-1290
Phone
(817) 905-8001
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1018194 TX Primary

Addresses

Primary practice location

3521 Laurenwood Dr
Crowley, TX 76036-1290

Mailing address

3521 Laurenwood Dr
Crowley, TX 76036-1290
Phone (817) 905-8001

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
I20210909000033 TX Practitioner - Nurse Practitioner 9739585233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health and Therapy CentersGroup PAC ID 7517338221, 12 clinicians

Practice addresses (Care Compare)

5521 Bellaire Dr S
Suite 110
Fort Worth, TX 76109-5855
Phone (817) 926-9642

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health and Therapy Centers CurrentSince Feb 17, 2024 Accepting new patients
NP Mike Elrod PC CurrentSince Jan 1, 2025 Accepting new patients
Dallas 365, PLLC CurrentSince Feb 15, 2024 Accepting new patients
RJ Medical Services LLC Past Accepting new patients

Locations

5521 Bellaire Dr S
Ste 110
Ft Worth, TX 76109
Phone (817) 377-8820

5521 Bellaire Dr S
Ste 200
Ft Worth, TX 76109
Phone (469) 281-1655

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: michael.elrod.1@27041.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1356939334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 LAURENWOOD DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760361290",
            "telephone_number": "817-905-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 LAURENWOOD DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760361290",
            "telephone_number": "817-905-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELROD",
        "first_name": "MICHAEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1018194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, TX

Sources for this page

Verify at the official NPI Registry.