Individual provider Active NPI

May Ha Goetsch, ACNP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1629407077
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
835332 Issued in TX
Practice address
1521 Cooper St
Fort Worth, TX 76104-2711
Phone
(817) 336-5864
Fax
(817) 336-2159
NPI assigned
Nov 6, 2013
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 835332 TX Primary

Addresses

Primary practice location

1521 Cooper St
Fort Worth, TX 76104-2711

Mailing address

601 Omega Dr
Suite 206
Arlington, TX 76014-2075
Phone (817) 465-5881

Other identifiers 1

IdentifierTypeStateIssuer
339207YQFJOtherTXMEDICARE PTAN

Other names 1

  • May Ha Vong Former name

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
I20140409001976 TX Practitioner - Nurse Practitioner 0345472148 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians

Practice addresses (Care Compare)

221 W Colorado Blvd
Suite 525
Dallas, TX 75208-2312
Phone 214960568175

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (682) 341-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
835332TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Interventional Pain, LLC CurrentSince Aug 24, 2020 Accepting new patients
Valor Interventional Pain, LLC CurrentSince Aug 24, 2020 Accepting new patients
DFW Critical Care LLC CurrentSince Aug 15, 2016 Accepting new patients
Dallas Pulmonary & Critical Care PA Acute Care CurrentSince Jun 2, 2023 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Sep 17, 2016 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Apr 11, 2025 Accepting new patients
Texas Pulmonary & Critical Care Consultants, PA Past Accepting new patients

Locations

6311 Southwest Blvd
Benbrook, TX 76132
Phone (817) 731-9400

221 W Colorado Blvd
Ste 525
Dallas, TX 75208
Phone (214) 956-4525

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1001 College Ave
Ste A
Ft Worth, TX 76104
Phone (817) 336-1852

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

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

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

100 Gateway Hills Ln
Ste C
Granbury, TX 76049
Phone (682) 936-2544

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

5605 N MacArthur Blvd
Ste 740
Irving, TX 75038
Phone 2149605681 ext. 75

2300 Lone Star Rd
Mansfield, TX 76063
Phone (682) 341-5000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 7

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1629407077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OMEGA DR",
            "address_2": "SUITE 206",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142075",
            "telephone_number": "817-465-5881",
            "fax_number": "817-465-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042711",
            "telephone_number": "817-336-5864",
            "fax_number": "817-336-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "MAY",
        "middle_name": "HA",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "835332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "339207YQFJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAY",
            "last_name": "VONG",
            "middle_name": "HA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.