Individual provider Active NPI

Dustin Davis, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1528935749
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1216064 Issued in TX
Practice address
7451 McCart Ave Ste 100
Fort Worth, TX 76133-7215
Phone
(817) 704-3262
NPI assigned
Oct 22, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 1216064 TX Primary

Addresses

Primary practice location

7451 McCart Ave Ste 100
Fort Worth, TX 76133-7215

Mailing address

1502 S FM 51 Ste B
Decatur, TX 76234-2476

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
I20260130000921 TX Practitioner - Nurse Practitioner 6709364813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

11888 Marsh LN
Suite 104
Dallas, TX 75234-8083
Phone (972) 488-9222

2205 N Tarrant Pkwy
Fort Worth, TX 76177-2204
Phone (817) 328-3320

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

4401 Little Rd
Suite 520
Arlington, TX 76016-5621
Phone (682) 318-3114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1216064TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince Dec 25, 2025 Accepting new patients
Citimed, P.a. Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

7451 McCart Ave
Ste 100
Fort Worth, TX 76133
Phone (817) 704-3262

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

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": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1528935749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S FM 51 STE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762342476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 MCCART AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337215",
            "telephone_number": "817-704-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1216064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.