Individual provider Active NPI

Pem Reainthong, ACNP

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1437742996
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1028615 Issued in TX
Practice address
Methodist Charlton Medical Center
3500 West Wheatland Rd
Dallas, TX 75237
Phone
(682) 225-5222
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1028615 TX Primary

Addresses

Primary practice location

Methodist Charlton Medical Center
3500 West Wheatland Rd
Dallas, TX 75237

Mailing address

1218 Platte Dr
Mansfield, TX 76063-6376
Phone (682) 225-5222

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
I20220224000742 TX Practitioner - Nurse Practitioner 2466846043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lonestar Hospital Medicine Associates PAGroup PAC ID 6709049703, 126 clinicians

Practice addresses (Care Compare)

1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (954) 377-2954

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1028615TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Aug 1, 2023 Accepting new patients
Khuong Phan, D.O., P.a. CurrentSince Jan 24, 2022 Accepting new patients

Locations

8200 Matlock Rd
Ste 100
Arlington, TX 76002
Phone (817) 473-7197

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

8553 N Beach St
Fort Worth, TX 76244
Phone (682) 215-4657

920 Highway 287 N
Mansfield, TX 76063
Phone (817) 473-7197

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

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.

Hospital & facility affiliations 3

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1437742996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 PLATTE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636376",
            "telephone_number": "682-225-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METHODIST CHARLTON MEDICAL CENTER",
            "address_2": "3500 WEST WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75237",
            "telephone_number": "682-225-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAINTHONG",
        "first_name": "PEM",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1028615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.