Individual provider Active NPI

Kendall Denise Wines, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1366729311
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774690 Issued in TX
Practice address
4150 International PLZ Ste 270
Fort Worth, TX 76109-4892
Phone
(443) 275-9800
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 774690 TX Primary

Addresses

Primary practice location

4150 International PLZ Ste 270
Fort Worth, TX 76109-4892

Mailing address

785 Elkridge Landing Rd Ste 300
Linthicum, MD 21090-2958
Phone (443) 275-9800

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
I20120326000756 TX Practitioner - Nurse Practitioner 0840450052 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC LTC Aco LLCGroup PAC ID 3678013729, 22 clinicians
FMC Long-Term Care PAGroup PAC ID 7416380423, 23 clinicians

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 350-8277

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Memorial Hospital Hospital, Dumas, TX, CCN 451386

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
75.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
774690TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Gastroenterology & Liver Associates PLLC CurrentSince Aug 1, 2021 Accepting new patients
FMC LTC Aco LLC CurrentSince Sep 12, 2025 Accepting new patients
FMC Long-Term Care, P.a. Family CurrentSince Sep 12, 2025 Accepting new patients
Center for Orthopedic Surgery L.L.P. CurrentSince Nov 1, 2019 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics PastSince Jan 4, 2026 Accepting new patients
Texas Tech University Health Sciences Center Lubbock PastSince Aug 1, 2021 Accepting new patients

Locations

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

3502 9th St
Ste 360
Lubbock, TX 79415
Phone (806) 414-2783

4505 82nd St
Ste 5
Lubbock, TX 79424
Phone (806) 696-4440

4642 N Loop 289
Ste 101
Lubbock, TX 79416
Phone (806) 797-4985

301 Utica Ave
Lubbock, TX 79416
Phone (806) 797-4985

Interoperability endpoints

  • Direct secure messaging: kendall.wines@direct.myteamcare.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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1366729311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 ELKRIDGE LANDING RD STE 300",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902958",
            "telephone_number": "443-275-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 INTERNATIONAL PLZ STE 270",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094892",
            "telephone_number": "443-275-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "KENDALL",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.