Active NPI
David Mac McCoy III, APRN-CNP, AGACNP-BC
- Acute Care Nurse Practitioner
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1058909
- Practice address
- 1301 Pennsylvania Ave
Fort Worth, TX 76104-2122 - Phone
- (817) 250-2000
- NPI assigned
- Nov 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1058909 | TX | Primary |
Addresses
Primary practice location
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Mailing address
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 761-7742
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Pennsylvania Ave
Suite 690
Fort Worth, TX 76104-2133
Phone (817) 250-7030
Hospital & facility affiliations
- Texas Health Harris Methodist Fort Worth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Dallas Pulmonary & Critical Care PA | Acute Care | Current | Accepting new patients |
| Texas Health Physicians Group | Past | Accepting new patients |
Locations
1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803
221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525
800 5th Ave
Ste 400
Fort Worth, TX 76104
Phone (817) 702-9100
1325 Pennsylvania Ave
Ste 690
Fort Worth, TX 76104
Phone (817) 761-7740
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75
Interoperability endpoints
- dmccoy1829119@direct.texashealth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Critical Care Medicine (Internal Medicine) Physician
- Dallas, TX
- NPI 1235402728
Acute Care
-
- Sleep Disorder Diagnostic Clinic/Center
- Fort Worth, TX
- NPI 1114395969
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1457017154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042122",
"telephone_number": "817-761-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042122",
"telephone_number": "817-250-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "DAVID",
"middle_name": "MAC",
"name_suffix": "III",
"credential": "APRN-CNP, AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-17",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1058909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.