Individual provider Active NPI

Scarlett Marie Nerios, NP

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1467119040
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1059102 Issued in TX
Practice address
9701 Harmon Rd Ste 141
Fort Worth, TX 76177-7602
Phone
(817) 306-5630
Fax
(817) 306-5631
NPI assigned
Nov 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1059102 TX Primary

Addresses

Primary practice location

9701 Harmon Rd Ste 141
Fort Worth, TX 76177-7602

Mailing address

9701 Harmon Rd Ste 141
Fort Worth, TX 76177-7602
Phone (817) 306-5630

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
I20211129002602 TX Practitioner - Nurse Practitioner 7618367053 Reassigns benefits to 1 organization

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
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

2175 E Southlake Blvd
Suite 120
Southlake, TX 76092-6544
Phone (817) 813-2700

National Provider Directory

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

Organizations & group practices 1

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": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1467119040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 HARMON RD STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777602",
            "telephone_number": "817-306-5630",
            "fax_number": "817-306-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 HARMON RD STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761777602",
            "telephone_number": "817-306-5630",
            "fax_number": "817-306-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERIOS",
        "first_name": "SCARLETT",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.