Individual provider Active NPI

Ann Palagi-Pate, CNM, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1588076483
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
734129 Issued in TX
Practice address
1201 S Main St
Fort Worth, TX 76104-4804
Phone
(817) 702-6540
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 734129 TX
Women's Health Nurse Practitioner 363LW0102X 734129 TX Primary

Addresses

Primary practice location

1201 S Main St
Fort Worth, TX 76104-4804

Mailing address

1201 S Main St
Fort Worth, TX 76104-4804
Phone (817) 702-6540

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
I20150421002294 TX Practitioner - Nurse Practitioner 1557689619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1201 S Main St
Fort Worth, TX 76104-4804
Phone (817) 702-6500

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

Hospital & facility affiliations

  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
734129TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc CurrentSince Feb 26, 2018 Accepting new patients

Locations

1050 W Arkansas Ln
Ste 150
Arlington, TX 76013
Phone (817) 702-3567

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1201 S Main St
Ft Worth, TX 76104
Phone (817) 702-6500

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1588076483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044804",
            "telephone_number": "817-702-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044804",
            "telephone_number": "817-702-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAGI-PATE",
        "first_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "734129",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "734129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.