Individual provider Active NPI

Juston Forte

  • Gerontology Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1538529524
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG0216149 Issued in TX
Practice address
1305 W Magnolia Ave
Suite B
Ft Worth, TX 76104-4351
Phone
(817) 522-1530
Fax
(817) 523-8667
NPI assigned
Mar 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG0216149 TX Primary

Addresses

Primary practice location

1305 W Magnolia Ave
Suite B
Ft Worth, TX 76104-4351

Mailing address

1305 W Magnolia Ave
Suite B
Ft Worth, TX 76104-4351
Phone (817) 522-1530

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
I20160422002123 TX Practitioner - Nurse Practitioner 8729387816 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

4001 W 15TH St
245 Usmd Plano W
Plano, TX 75093-5839
Phone (972) 596-5222

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG0216149TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Current Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 17, 2018 Accepting new patients
Wellmed Networks, Inc. CurrentSince May 15, 2017 Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Dec 17, 2018 Accepting new patients
Physician Psych Services PLLC Past Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

935 York Dr
Desoto, TX 75115
Phone (972) 591-0954

1620 N Hardin Blvd
Ste 2000
McKinney, TX 75071
Phone (945) 234-6211

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

Interoperability endpoints

  • Direct secure messaging: juston.forte@wellmed.eclinicaldirectplus.com

Organizations & group practices 7

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 2

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": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1538529524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044351",
            "telephone_number": "817-522-1530",
            "fax_number": "817-523-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W MAGNOLIA AVE",
            "address_2": "SUITE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761044351",
            "telephone_number": "817-522-1530",
            "fax_number": "817-523-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTE",
        "first_name": "JUSTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AG0216149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.