Individual provider Active NPI

Ofear Moore Norris, NP

  • Gerontology Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1558813485
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP131844 Issued in TX
Practice address
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone
(817) 796-7370
NPI assigned
Oct 26, 2016
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP131844 TX
Gerontology Nurse Practitioner 363LG0600X AP131844 TX Primary

Addresses

Primary practice location

4115 E Lancaster Ave
Fort Worth, TX 76103-3614

Mailing address

PO Box 746079
Atlanta, GA 30374-6079

Other practice location 1

9229 Lyndon B Johnson Fwy
Dallas, TX 75243-3405
Phone (682) 236-3656

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
I20161207000018 TX Practitioner - Nurse Practitioner 4082994157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychcare of Dallas I PLLCGroup PAC ID 2466625371, 46 clinicians

Practice addresses (Care Compare)

1850 W Pleasant Run Rd
Lancaster, TX 75146-1220
Phone (972) 275-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131844TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Dallas I, PLLC Nurse Practitioner CurrentSince Mar 27, 2017 Accepting new patients
A Ray Lewis, DO, PLLC PastSince Jun 9, 2010 Accepting new patients

Locations

3301 View St
Ft Worth, TX 76103
Phone (817) 531-3616

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (281) 759-2900

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6707

1850 W Pleasant Run Rd
Lancaster, TX 75146
Phone (972) 275-1900

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

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, 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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1558813485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746079",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E LANCASTER AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033614",
            "telephone_number": "817-796-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9229 Lyndon B Johnson Fwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752433405",
            "country_code": "US",
            "telephone_number": "682-236-3656",
            "fax_number": "214-570-1692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE NORRIS",
        "first_name": "OFEAR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131844",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP131844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.