Natasha Maria Bubeck, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1037049 Issued in TX

Practice address

1001 W Arbrook Blvd Ste 161
Arlington, TX 76015-4222

Phone

(817) 402-0952

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renovo Wound and Hyperbarics PLLCGroup PAC ID 6002236379, 4 clinicians

Amandeep Kaur, M.D., P.a.Group PAC ID 0749542264, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carrollton Regional Medical Center Hospital, Carrollton, TX, CCN 450730

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Amandeep Kaur, M.D., P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1508377730
  Medicare reassignment Care Compare group NPD
• Renovo Wound and Hyperbarics PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Lewisville, TX
  • NPI 1629683602
  Medicare reassignment Care Compare group NPD
• Arlington Wound Care and Hyperbaric Center LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Arlington, TX
  • NPI 1457914186
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sana Healthcare Carrollton

  • General Acute Care Hospital
  • Carrollton, TX
  • NPI 1184262800
  Care Compare affiliation

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1366025447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 CAT MOUNTAIN TRL",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483217",
            "telephone_number": "850-313-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W ARBROOK BLVD STE 161",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154222",
            "telephone_number": "817-402-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBECK",
        "first_name": "NATASHA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "TX",
            "license": "830601",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1037049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "n/a",
            "city": "n/a",
            "state": "TX",
            "country_code": "US",
            "postal_code": "00000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward Ransome Bryan IV, M.D.
• Alexia Bryant
• Kaylyn Bryner, PMHNP-BC
• Btdi JV LLP
• Btdi JV LLP
• Kevin Bubel, MD
• Feven Zegeye Bucklew, NP
• Shawna Marie Buckley, FNP-C
• Marylie Buckoski, NP
• Aamir Budhani, D.M.D.

• Family Nurse Practitioner in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.

Verify at the official NPI Registry.