Individual provider Active NPI

Corretta Danielle Barnes, NP

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1568071504
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP146178 Issued in TX
Practice address
960 State Highway 352
Mesquite, TX 75149
Phone
(214) 391-2875
Fax
(214) 391-3396
NPI assigned
Jul 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 AP146178 TX Primary

Addresses

Primary practice location

960 State Highway 352
Mesquite, TX 75149

Mailing address

960 State Highway 352
Mesquite, TX 75149
Phone (214) 391-2875

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
I20201209001949 TX Practitioner - Nurse Practitioner 5799197141 Reassigns benefits to 5 organizations

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
Mobile Med Visit Management LLCGroup PAC ID 1557723137, 3 clinicians
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

5068 W Plano Pkwy
Suite 295a
Plano, TX 75093-4408
Phone (469) 999-5949

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

960 Hwy 352
Mesquite, TX 75149-6892
Phone (214) 391-2875

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jun 1, 2023 Accepting new patients
Mobile Med Visit Management LLC CurrentSince Dec 10, 2023 Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2023 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Vital Physician House Calls LLC CurrentSince Dec 23, 2020 Accepting new patients
Pratik LLC PastSince Apr 1, 2021 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

960 Highway 352
Mesquite, TX 75149
Phone (214) 391-2875

5068 W Plano Pkwy
Ste 295A
Plano, TX 75093
Phone (469) 999-5949

5068 W Plano Pkwy
Ste 295C
Plano, TX 75093
Phone (972) 666-0786

275 W Campbell Rd
Ste 325C
Richardson, TX 75080
Phone (972) 666-0786

50 Business Pkwy
Ste A
Richardson, TX 75081
Phone (972) 666-0786

275 W Campbell Rd
Ste 325D
Richardson, TX 75080
Phone (972) 666-0786

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: cbarnes2367642@direct.texashealth.org

Organizations & group practices 8

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": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1568071504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 STATE HIGHWAY 352",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "214-391-2875",
            "fax_number": "214-391-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 STATE HIGHWAY 352",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "214-391-2875",
            "fax_number": "214-391-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "CORRETTA",
        "middle_name": "DANIELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP146178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.