Individual provider Active NPI

Mandi Winner, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1508517087
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1054674 Issued in TX
Practice address
7800 Oakmont Blvd
Fort Worth, TX 76132-4203
Phone
(817) 346-0094
NPI assigned
Jan 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1054674 TX Primary

Addresses

Primary practice location

7800 Oakmont Blvd
Fort Worth, TX 76132-4203

Mailing address

7800 Oakmont Blvd
Fort Worth, TX 76132-4299

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mandi.winner@kindred.com

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
I20220922002677 TX Practitioner - Nurse Practitioner 6406231786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis AssociatesGroup PAC ID 1557308319, 25 clinicians

Practice addresses (Care Compare)

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1054674TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates CurrentSince Sep 12, 2022 Accepting new patients

Locations

11797 South Fwy
Ste 226
Burleson, TX 76028
Phone (817) 293-2272

6551 Harris Pkwy
Ste 210
Fort Worth, TX 76132

4900 Boat Club Rd
Fort Worth, TX 76135
Phone (682) 224-9061

2221 8th Ave
Fort Worth, TX 76110

919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700

Interoperability endpoints

  • Direct secure messaging: mwinner40266@direct.acumenmd.com

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.

Hospital & facility affiliations 3

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": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1508517087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324203",
            "telephone_number": "817-346-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNER",
        "first_name": "MANDI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1054674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandi.winner@kindred.com",
            "affiliation": "N",
            "address_1": "7800 Oakmont Blvd",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761324203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.