Individual provider Active NPI

Michael Ward, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1598393712
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP145302 Issued in TX
Practice address
924 Yarwood Way
Burleson, TX 76028-2397
Phone
(318) 332-2904
NPI assigned
Apr 1, 2020
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP145302 TX Primary

Addresses

Primary practice location

924 Yarwood Way
Burleson, TX 76028-2397

Mailing address

5500 Sycamore School Road
Fort Worth, TX 76123

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
I20200902001791 TX Practitioner - Nurse Practitioner 3870910045 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP145302TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Urgent Care, PLLC CurrentSince Nov 10, 2020 Accepting new patients
Questcare Hospitalists PLLC CurrentSince May 7, 2021 Accepting new patients
Woodbridge Physicians Staffing Group, PLLC CurrentSince Nov 10, 2020 Accepting new patients
Pulmonary Critical Care Professionals CurrentSince Apr 10, 2024 Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

9330 Poppy Dr
Ste 300
Dallas, TX 75218
Phone (214) 324-2471

5500 Sycamore School Rd
Fort Worth, TX 76123

5500 Sycamore School Rd
Ste 100
Fort Worth, TX 76123
Phone (682) 707-9707

5500 Sycamore School Rd
Ste 150
Fort Worth, TX 76123
Phone (682) 707-9707

Organizations & group practices 4

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1598393712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SYCAMORE SCHOOL ROAD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 YARWOOD WAY",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282397",
            "telephone_number": "318-332-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MICHAEL",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP145302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.