Individual provider Active NPI

Blayne Berry, FNP

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1437792223
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143687 Issued in TX
Practice address
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone
(940) 764-7000
NPI assigned
Oct 24, 2019
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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 AP143687 TX Primary

Addresses

Primary practice location

4327 Barnett Rd
Wichita Falls, TX 76310-2303

Mailing address

2410 Clayton LN
Wichita Falls, TX 76308-3904
Phone (940) 781-9198

Other practice location 1

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bberry47471@unitedregional.medalliesdirect.net Direct United Regional Health Care System Inc

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
I20200116000459 TX Practitioner - Nurse Practitioner 6305271586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Regional Physician GroupGroup PAC ID 2163417478, 106 clinicians

Practice addresses (Care Compare)

4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 764-5200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.42 of 100Reported as group
Quality
66.99
Promoting interoperability
100
Improvement activities
40
Cost
57.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143687TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Current Accepting new patients
United Regional Physician Group CurrentSince Dec 15, 2019 Accepting new patients

Locations

208 S Red River Expy
Ste D
Burkburnett, TX 76354
Phone (940) 569-2233

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

4327 Barnett Rd
Wichita Falls, TX 76310
Phone (940) 761-2922

Interoperability endpoints

  • Direct secure messaging: bberry47471@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/URMYCHART/api/FHIR/R4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1437792223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 CLAYTON LN",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083904",
            "telephone_number": "940-781-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 BARNETT RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102303",
            "telephone_number": "940-764-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4327 Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763102303",
            "country_code": "US",
            "telephone_number": "940-764-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "BLAYNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bberry47471@unitedregional.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "United Regional Health Care System Inc",
            "affiliationName": "United Regional Health Care System Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Secure Messaging Address",
            "address_1": "1600 11th St",
            "city": "Wichita Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763014388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.