Individual provider Active NPI

Belinder Njukang Atabongafac, NP

  • Family Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1376205286
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01231394 Issued in TX
Practice address
3308 Deen Rd
Ft Worth, TX 76106-6524
Phone
(817) 702-1100
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 957208 TX
Family Nurse Practitioner 363LF0000X F01231394 TX Primary

Addresses

Primary practice location

3308 Deen Rd
Ft Worth, TX 76106-6524

Mailing address

200 W Magnolia Ave Ste 201
Ft Worth, TX 76104-7657
Phone (469) 286-8808

Other practice location 1

3200 W Euless Blvd
Euless, TX 76040-6253
Phone (817) 702-1100

Other practice location 2

1650 S Beach St
Ft Worth, TX 76105-2209
Phone (817) 702-1100

Other practice location 3

1050 W Arkansas Ln Ste 150
Arlington, TX 76013-6308
Phone (817) 702-1100

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
I20230803000370 TX Practitioner - Nurse Practitioner 3779944087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
957208TXMDRegistered Nurse
F01231394TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Jul 20, 2023 Accepting new patients

Locations

1050 W Arkansas Ln
Ste 150
Arlington, TX 76013
Phone (817) 702-3567

3200 W Euless Blvd
Euless, TX 76040
Phone (817) 702-6474

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

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

3308 Deen Rd
Ft Worth, TX 76106
Phone (817) 702-1819

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

1650 S Beach St
Ft Worth, TX 76105
Phone (817) 702-8647

Interoperability endpoints

  • Direct secure messaging: batabongafac102447@direct.jpshealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1376205286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "469-286-8808",
            "fax_number": "817-702-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 DEEN RD",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761066524",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 W Euless Blvd",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760406253",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 S Beach St",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761052209",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 W Arkansas Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760136308",
            "country_code": "US",
            "telephone_number": "817-702-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATABONGAFAC",
        "first_name": "BELINDER",
        "middle_name": "NJUKANG",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "957208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F01231394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.