Individual provider Active NPI

Nikitha Alice Cherian, MSN, A-GNP-C

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1669014437
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP143508 Issued in TX
Practice address
1400 S Main St Ste 403
Fort Worth, TX 76104-4913
Phone
(817) 702-1100
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP143508 TX Primary

Addresses

Primary practice location

1400 S Main St Ste 403
Fort Worth, TX 76104-4913

Mailing address

PO Box 732973
Dallas, TX 75373-7329
Phone (817) 702-1307

Other practice location 1

855 Davis Blvd Ste 500
Southlake, TX 76092-8218
Phone (817) 912-1771

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

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
I20200114001296 TX Practitioner - Nurse Practitioner 6204261662 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians

Practice addresses (Care Compare)

1400 S Main St
Suite 403
Fort Worth, TX 76104-4913
Phone (817) 702-1100

Hospital & facility affiliations

  • Health Masters Homecare Inc Home health agency, Fort Worth, TX, CCN 679041
  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP143508TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince May 15, 2022 Accepting new patients
Vpa of Texas PLLC CurrentSince May 15, 2022 Accepting new patients
Modern Medical House Calls PLLC CurrentSince Dec 1, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince May 15, 2022 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Mar 8, 2023 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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

1400 S Main St
Ste 403
Ft Worth, TX 76104
Phone (817) 332-5585

2500 Circle Dr
Ft Worth, TX 76119
Phone (817) 702-7340

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

855 Davis Blvd
Ste 500
Southlake, TX 76092
Phone (817) 912-1771

Interoperability endpoints

  • Direct secure messaging: ncherian99977@direct.jpshealth.org

Organizations & group practices 6

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 2

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": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1669014437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732973",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753737329",
            "telephone_number": "817-702-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MAIN ST STE 403",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044913",
            "telephone_number": "817-702-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Davis Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760928218",
            "country_code": "US",
            "telephone_number": "817-912-1771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHERIAN",
        "first_name": "NIKITHA",
        "middle_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "MSN, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP143508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "2206 Malin Dr",
            "city": "Trophy Club",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762625584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.