Active NPI
Marie Antoinette Nguyen, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Burleson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1094038
- Practice address
- 312 E Renfro St Ste 105
Burleson, TX 76028-3948 - Phone
- (817) 968-5756
- Fax
- (817) 989-2716
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1094038 | TX | Primary |
Addresses
Primary practice location
312 E Renfro St Ste 105
Burleson, TX 76028-3948
Mailing address
1221 Platte Dr
Mansfield, TX 76063-6377
Phone (214) 226-2758
Other practice location 1
4200 South Fwy Ste 100
Fort Worth, TX 76115-1407
Phone (817) 750-7334
Other practice location 2
12200 Park Central Dr Ste 110
Dallas, TX 75251-2125
Phone (972) 701-0199
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1221 Platte Dr
Mansfield, TX 76063-6377
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1094038 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telemedicine Advantage Concierge Urgent Care | Current | Accepting new patients | |
| Mind Haven Psychiatry PLLC | Current | Accepting new patients | |
| Pediatric Urgent Care Center of Fort Worth, P.a.. | Current | Accepting new patients |
Locations
5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101
4200 South Fwy
Ste 100
Fort Worth, TX 76115
Phone (817) 750-7334
Interoperability endpoints
- marie.nguyen@116865639055364.direct.elationemr.com
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.
-
- Psychiatry Physician
- Dallas, TX
- NPI 1588526040
-
dba Fort Worth Concierge Plus
- Pediatrics Physician
- Fort Worth, TX
- NPI 1851668149
-
dba Concierge Urgent Care
- Pediatrics Physician
- Fort Worth, TX
- NPI 1376165191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1578285359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 PLATTE DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636377",
"telephone_number": "214-226-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 E RENFRO ST STE 105",
"city": "BURLESON",
"state": "TX",
"postal_code": "760283948",
"telephone_number": "817-968-5756",
"fax_number": "817-989-2716"
}
],
"practiceLocations": [
{
"address_1": "4200 South Fwy Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761151407",
"country_code": "US",
"telephone_number": "817-750-7334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12200 Park Central Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752512125",
"country_code": "US",
"telephone_number": "972-701-0199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MARIE",
"middle_name": "ANTOINETTE",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1094038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.