Individual provider Active NPI

David Charles Levin

  • Family Nurse Practitioner
  • Mineral Wells, TX
National Provider Identifier
1487298519
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
860569 Issued in TX
Practice address
202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299
Phone
(940) 328-7581
Fax
(940) 328-7501
NPI assigned
Nov 1, 2019
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 134599 OK
Family Nurse Practitioner 363LF0000X 860569 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299

Mailing address

202 SW 25TH Ave Ste 300
Mineral Wells, TX 76067-8299
Phone (940) 328-7581

Other identifiers 1

IdentifierTypeStateIssuer
AP142750OtherTXSTATE LICENSE

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
I20210628001330 TX Practitioner - Nurse Practitioner 6406289008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Holly Hill Rd
Mineral Wells, TX 76067-5043
Phone (940) 463-7092

101 Holly Hill Rd
Suite B
Mineral Wells, TX 76067-5005
Phone (940) 463-7101

202 SW 25TH Ave
Mineral Wells, TX 76067-8462

202 SW 25TH Ave
1200 Palo Pinto Urology
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

202 SW 25TH Ave
300 Palo Pinto General Hospital
Mineral Wells, TX 76067-8242
Phone (940) 328-6521

202 SW 25TH Ave
800 Palo Pinto Cares for Kids
Mineral Wells, TX 76067-8460
Phone (940) 328-7588

202 SW 25TH St
800 Palo Pinto General Hospital Pulmonology
Mineral Wells, TX 76067-8460
Phone (940) 328-7586

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134599OKMDFamily Nurse Practitioner
860569TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District CurrentSince May 17, 2021 Accepting new patients
Palo Pinto County Hospital District Family CurrentSince May 17, 2021 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Family Current Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

202 SW 25th Ave
Ste 1300
Mineral Wells, TX 76067
Phone (940) 328-7507

202 SW 25th Ave
Ste 300
Mineral Wells, TX 76067
Phone (940) 328-6521

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Organizations & group practices 6

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 1

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1487298519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678299",
            "telephone_number": "940-328-7581",
            "fax_number": "940-328-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 300",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678299",
            "telephone_number": "940-328-7581",
            "fax_number": "940-328-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-01",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "134599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "860569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP142750",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.