Individual provider Active NPI

Renita Sirena Forney, FNP-BC

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1558041582
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1129324 Issued in TX
Practice address
1770 State Highway 46 W Ste 1201
New Braunfels, TX 78132-5393
Phone
(830) 730-4375
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 1129324 TX Primary

Addresses

Primary practice location

1770 State Highway 46 W Ste 1201
New Braunfels, TX 78132-5393

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (830) 730-5025

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
I20230822000289 TX Practitioner - Nurse Practitioner 8426410564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as apm
Quality
78.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pak Medical Group, PLLC CurrentSince Aug 22, 2024 Accepting new patients
Total Care 2 U, LLC CurrentSince Sep 19, 2023 Accepting new patients

Locations

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

1770 State Highway 46 W
Ste 1201
New Braunfels, TX 78132
Phone (830) 730-4125

1672 Independence Dr
Ste 310
New Braunfels, TX 78132
Phone (830) 730-5025

1762 E Common St
New Braunfels, TX 78130
Phone (830) 730-4131

1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527

Interoperability endpoints

  • Direct secure messaging: renita.forney.1@19704.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1558041582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "830-730-5025",
            "fax_number": "830-312-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 STATE HIGHWAY 46 W STE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325393",
            "telephone_number": "830-730-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNEY",
        "first_name": "RENITA",
        "middle_name": "SIRENA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1129324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.