Active NPI
Katherine Anna Nack, APRN
- Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 899820
- Practice address
- 6100 Harris Pkwy Ste 285
Fort Worth, TX 76132-4127 - Phone
- (817) 263-5864
- Fax
- (817) 263-3791
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 899820 | TX | Primary |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 899820 | TX |
Addresses
Primary practice location
6100 Harris Pkwy Ste 285
Fort Worth, TX 76132-4127
Mailing address
601 Omega Dr Ste 208
Arlington, TX 76014-2075
Phone (817) 465-5881
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Fairmount Ave
Fort Worth, TX 76104-4215
Phone (817) 335-5288
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.25 of 100
- Promoting interoperability
- 85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 899820 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Pulmonary & Critical Care Consultants, PA | Current | Accepting new patients | |
| Tarrant Pulmonary Associates LLC | Current | Accepting new patients | |
| Texas Pulmonary & Critical Care Consultants, PA | Past | Accepting new patients |
Locations
601 Omega Dr
Ste 208
Arlington, TX 76014
Phone (817) 465-5881
1201 Fairmount Ave
Fort Worth, TX 76104
Phone (817) 335-5288
6100 Harris Pkwy
Ste 285
Fort Worth, TX 76132
Phone (817) 263-5864
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BHHJCD
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72070
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Fort Worth, TX
- NPI 1427127968
-
- Pulmonary Disease Physician
- Arlington, TX
- NPI 1013625516
-
- Pulmonary Disease Physician
- Dallas, TX
- NPI 1871004473
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1356940837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 OMEGA DR STE 208",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142075",
"telephone_number": "817-465-5881",
"fax_number": "817-465-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 HARRIS PKWY STE 285",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761324127",
"telephone_number": "817-263-5864",
"fax_number": "817-263-3791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NACK",
"first_name": "KATHERINE",
"middle_name": "ANNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "899820",
"primary": true
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "TX",
"license": "899820",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.