Individual provider Active NPI

Pinky Bennett Pratt III, APRN, FNP-BC, FNP-C

  • Family Nurse Practitioner
  • Fredericksburg, TX
National Provider Identifier
1447564711
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
695742 Issued in TX
Practice address
1020 S State Highway 16
Fredericksburg, TX 78624-4471
Phone
(830) 990-4453
Fax
(830) 990-1892
NPI assigned
Jul 28, 2010
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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 695742 TX Primary

Addresses

Primary practice location

1020 S State Highway 16
Fredericksburg, TX 78624-4471

Mailing address

205 W Windcrest St
Ste 130
Fredericksburg, TX 78624-4478
Phone (214) 649-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS, FL, MN, OK, DE, ND, NY, VA, MO, MI, KY, GA, IL, MA, AZ, CO, NE, IA, IN, HI21 enrollments
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 21

Enrollment IDStateProvider typePAC IDDetails
I20110527000297 TX Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 4 organizations
I20170712004010 KS Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20171122000548 FL Practitioner - Nurse Practitioner 6901083062
I20180119000429 MN Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20190307002959 OK Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20230401000009 DE Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20230403000679 ND Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20230524000322 NY Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20230616002846 VA Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20230731002379 MO Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20230920004071 MI Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20231002000441 KY Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20231013003058 GA Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20231116002091 IL Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20231205001059 MA Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20240712002835 AZ Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20240808002720 CO Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20241016004199 NE Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20241203003771 IA Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization
I20241213000535 IN Practitioner - Nurse Practitioner 6901083062
I20250625003003 HI Practitioner - Nurse Practitioner 6901083062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
42.91 of 100Reported as group
Quality
5.54
Improvement activities
40
Cost
66.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5122MNMDChiropractor
341914NYMDInterventional Cardiology Physician
695742TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Aug 26, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Mar 16, 2023 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 15, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Aug 26, 2024 Accepting new patients
Post Acute Specialists of Texas PA Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Aug 21, 2023 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Nisha Satish MD PA Past Accepting new patients

Locations

1300 Hospital Loop
Belcourt, ND 58316

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4100 W 150th St
#3
Cleveland, OH 44135

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Farmers Branch, TX 75244
Phone (469) 466-7007

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

9014 Timber Path
San Antonio, TX 78250
Phone (210) 523-2455

Interoperability endpoints

  • Direct secure messaging: pinkypratt@usoapas.allscriptsdirect.net

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1447564711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST",
            "address_2": "STE 130",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244478",
            "telephone_number": "214-649-5908",
            "fax_number": "972-416-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S STATE HIGHWAY 16",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244471",
            "telephone_number": "830-990-4453",
            "fax_number": "830-990-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "PINKY",
        "middle_name": "BENNETT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "APRN, FNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "695742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.