Individual provider Active NPI

Buffy Powell, NP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1508141607
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP120986 Issued in TX
Practice address
10840 Texas Health TRL Ste 260
Fort Worth, TX 76244-6850
Phone
(682) 212-5440
Fax
(682) 212-9440
NPI assigned
Oct 20, 2011
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP120986 TX Primary

Addresses

Primary practice location

10840 Texas Health TRL Ste 260
Fort Worth, TX 76244-6850

Mailing address

10840 Texas Health TRL Ste 260
Fort Worth, TX 76244-6850
Phone (682) 212-5440

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
I20111206000283 TX Practitioner - Nurse Practitioner 0143495929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

10840 Texas Health TRL
Suite 260
Fort Worth, TX 76244-6850
Phone (682) 212-5440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120986TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Oct 29, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 29, 2018 Accepting new patients

Locations

501 Rita Ln
Ste 101
Arlington, TX 76014
Phone (817) 419-9108

1400 Hospital Pkwy
Ste 100
Bedford, TX 76022
Phone (817) 545-4550

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

10840 Texas Health Trl
Ste 260
Fort Worth, TX 76244
Phone (682) 212-5440

Interoperability endpoints

  • Direct secure messaging: bpowell1380810@direct.texashealth.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1508141607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 260",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446850",
            "telephone_number": "682-212-5440",
            "fax_number": "682-212-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL STE 260",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446850",
            "telephone_number": "682-212-5440",
            "fax_number": "682-212-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "BUFFY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP120986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.