Individual provider Active NPI

Marie Antoinette Nguyen, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1578285359
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1094038 Issued in TX
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

Updated by the provider on May 7, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220001403 TX Practitioner - Nurse Practitioner 8527403567 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
1094038TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Telemedicine Advantage Concierge Urgent Care CurrentSince Apr 1, 2023 Accepting new patients
Mind Haven Psychiatry PLLC CurrentSince Feb 1, 2026 Accepting new patients
Pediatric Urgent Care Center of Fort Worth, P.a.. CurrentSince Apr 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.