Active NPI
David Charles Levin
- Family Nurse Practitioner
- Mineral Wells, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 860569
- 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, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP142750 | Other | TX | STATE 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 134599 | OK | MD | Family Nurse Practitioner |
| 860569 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | 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 | 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.
-
dba Palo Pinto General Hospital
- Anesthesiology Physician
- Mineral Wells, TX
- NPI 1841258076
-
dba Palo Pinto General Hospital Pulmonology
- Cardiovascular Disease Physician
- Mineral Wells, TX
- NPI 1366400582
-
dba Palo Pinto Mobile Clinic
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1376278366
-
dba Community Care Center
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1922056993
-
dba Community Care Center
- Rural Health Clinic/Center
- Mineral Wells, TX
- NPI 1689659765
-
dba Palo Pinto General Hospital
- General Acute Care Hospital
- Mineral Wells, TX
- NPI 1972590602
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palo Pinto General Hospital
- General Acute Care Hospital
- Mineral Wells, TX
- NPI 1972590602
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.