Individual provider Active NPI

Prisca Ughanze, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1427400571
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130972 Issued in TX
Practice address
6850 Manhattan Blvd Ste 300-27
Fort Worth, TX 76120-1227
Phone
(469) 461-4787
Fax
(214) 594-8642
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP130972 TX
Family Nurse Practitioner 363LF0000X AP130972 TX Primary

Addresses

Primary practice location

6850 Manhattan Blvd Ste 300-27
Fort Worth, TX 76120-1227

Mailing address

6850 Manhattan Blvd Ste 300-27
Fort Worth, TX 76120-1227
Phone (469) 461-4787

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
I20170816002366 TX Practitioner - Nurse Practitioner 6901178573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 E Lamar Blvd
Suite 600
Arlington, TX 76006-7361

5108 Walsh Dr
Arlington, TX 76001-1112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Life Wellness Healthcare PLLC Psychiatric/Mental Health Current Accepting new patients
Legacy Physiatry Group LLC CurrentSince Jan 25, 2022 Accepting new patients

Locations

2000 E Lamar Blvd
Ste 600
Arlington, TX 76006
Phone (214) 519-9473

6850 Manhattan Blvd
Ste 30027
Fort Worth, TX 76120

850 Central Pkwy E
Ste 275
Plano, TX 75074

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

Organizations & group practices 2

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1427400571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 MANHATTAN BLVD STE 300-27",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201227",
            "telephone_number": "469-461-4787",
            "fax_number": "214-594-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 MANHATTAN BLVD STE 300-27",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201227",
            "telephone_number": "469-461-4787",
            "fax_number": "214-594-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGHANZE",
        "first_name": "PRISCA",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP130972",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.