Individual provider Active NPI

Cary Doyle Fitzgerald, NP

  • Family Medicine Physician
  • Mesquite, TX
National Provider Identifier
1588637557
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
612371 Issued in TX
Practice address
1280 N Town East Blvd
Mesquite, TX 75150-4606
Phone
(972) 686-1880
Fax
(972) 686-5845
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 612371 TX
Family Medicine Physician 207Q00000X 612371 TX Primary

Addresses

Primary practice location

1280 N Town East Blvd
Mesquite, TX 75150-4606

Mailing address

1280 N Town East Blvd
Mesquite, TX 75150-4606
Phone (972) 686-1880

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
I20041203000515 TX Practitioner - Nurse Practitioner 6901862747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

1280 N Town E Blvd
Mesquite, TX 75150-4606
Phone (972) 686-1880

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC CurrentSince Apr 24, 2017 Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Citimed, P.a. Family Medicine Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

1280 N Town East Blvd
Mesquite, TX 75150
Phone (972) 686-1880

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

Interoperability endpoints

  • Direct secure messaging: cary.fitzgeraldfnp.p11@direct.nextcare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1588637557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504606",
            "telephone_number": "972-686-1880",
            "fax_number": "972-686-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 N TOWN EAST BLVD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504606",
            "telephone_number": "972-686-1880",
            "fax_number": "972-686-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CARY",
        "middle_name": "DOYLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "612371",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "612371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.