Asnakew Ayalew
Individual provider Active NPI Family Nurse Practitioner · Melissa, TX
NPI 1407614753 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1407614753
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1015286 (TX)
- Practice address
- 3603 Clara Dr
Melissa, TX 75454-9750 - Phone
- (215) 917-2650
- NPI assigned
- Mar 11, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Care Well TX PLLC
Primecaretx PLLC
Practice addresses (Care Compare)
4740 14TH St
Suite T1
Plano, TX 75074-7318
Phone (469) 931-5731
940 W Stacy Rd
Suite 110
Allen, TX 75013-5215
Phone (214) 547-0700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241031002617 | TX | Practitioner - Nurse Practitioner | 0143660019 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015286 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texan Primary Care PLLC | Current |
Accepting new patients | |
| Primamed Physicians PLLC | Current |
Accepting new patients | |
| Primamed Physicians PLLC | Past |
Accepting new patients | |
| Citimed, P.a. | Past | Accepting new patients |
Locations
515 W Mayfield Rd
Ste 311
Arlington, TX 76014
Phone (817) 419-9200
4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114
11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222
3537 S Interstate 35 E
Ste 311
Denton, TX 76210
Phone (312) 772-5040
3537 S Interstate 35 E
Ste 320
Denton, TX 76210
Phone (214) 851-1777
3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581
Interoperability endpoints
- asnakew.ayalewfnp.p11@direct.nextcare.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/DIDGDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1015286 | TX | Yes |
Addresses
Primary practice location
3603 Clara Dr
Melissa, TX 75454-9750
Mailing address
3603 Clara Dr
Melissa, TX 75454-9750
Phone (215) 917-2650
Other providers in Melissa, TX
- Emilee Hurst Anthony
- Preston Arnold
- Ascend at Central Expressway, PLLC
- Jacqueline Atang
- Atibs Home Care LLC
- Caressa Baker
- Balmoral Home Health Care, LLC
- Cassie Marie Barajas
- Brad Barkema
- Angela Bennett
All providers in Melissa, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.