Individual provider Active NPI

Aniwelyn Tan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1477056356
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136524 Issued in TX
Practice address
425 N Highland Ave
Sherman, TX 75092-7377
Phone
(903) 957-0082
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X AP136524 TX
Family Nurse Practitioner 363LF0000X AP136524 TX Primary

Addresses

Primary practice location

425 N Highland Ave
Sherman, TX 75092-7377

Mailing address

425 N Highland Ave Ste 260
Sherman, TX 75092-7377
Phone (903) 957-0082

Other practice location 1

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-7225

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
I20210910000742 TX Practitioner - Nurse Practitioner 7416353826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
DFW Physicians Medical Associates LLCGroup PAC ID 8820493000, 14 clinicians

Practice addresses (Care Compare)

425 N Highland Ave
260 DFW Physicians Medical Associates LLC
Sherman, TX 75092-7377
Phone (903) 957-0082

Hospital & facility affiliations

  • First Texas Home Health Home health agency, Whitesboro, TX, CCN 458193
  • Mays Home Health of Paris TX LLC Home health agency, Paris, TX, CCN 457586
  • Guardian Healthcare Home health agency, Paris, TX, CCN 458041
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
20.17 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136524TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DFW Physicians Medical Associates LLC Multi-Specialty CurrentSince May 21, 2021 Accepting new patients
Aniwelyn Tan MSN Aprn FNP-C Family Medicine Current Accepting new patients

Locations

1126 3rd St
Corpus Christi, TX 78404
Phone (361) 462-4159

7589 Preston Rd
Ste 900
Frisco, TX 75034
Phone (214) 705-7749

425 N Highland Ave
Ste 130
Sherman, TX 75092
Phone (903) 868-7962

425 N Highland Ave
Ste 260
Sherman, TX 75092
Phone (817) 729-4532

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1477056356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE STE 260",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082",
            "fax_number": "903-957-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N HIGHLAND AVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927377",
            "telephone_number": "903-957-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 W Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938185",
            "country_code": "US",
            "telephone_number": "972-981-7225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "ANIWELYN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP136524",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.