Individual provider Active NPI

Miriam Elizabeth Gloria Merneigh, MSN RN FNP-C

  • Family Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1669028320
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142579 Issued in TX
Practice address
11803 S. Freeway Suite 311
Burleson, TX 76028
Phone
(817) 210-5283
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142579 TX Primary

Addresses

Primary practice location

11803 S. Freeway Suite 311
Burleson, TX 76028

Mailing address

301 Candlelite Court
Burleson, TX 76028
Phone (817) 210-5283

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
I20191024000672 TX Practitioner - Nurse Practitioner 6709118714 Reassigns benefits to 1 organization

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
Fort Worth Lung Clinic PAGroup PAC ID 6204007123, 2 clinicians

Practice addresses (Care Compare)

11803 S Fwy
Suite 136
Burleson, TX 76028-8460
Phone (817) 568-8411

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142579TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Worth Lung Clinic, PA CurrentSince Aug 5, 2019 Accepting new patients
DFW Sleep Diagnostics LLC PastSince Aug 25, 2024 Accepting new patients

Locations

11803 South Fwy
Ste 136
Burleson, TX 76028
Phone (817) 293-4833

11803 South Fwy
Ste 311
Burleson, TX 76028
Phone (817) 210-5283

923 College Ave
Ste 103
Fort Worth, TX 76104
Phone (817) 293-3000

800 8th Ave
Ste 412
Ft Worth, TX 76104
Phone (817) 336-0337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFFCD

Organizations & group practices 2

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 6

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1669028320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CANDLELITE COURT",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-210-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 S. FREEWAY SUITE 311",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "76028",
            "telephone_number": "817-210-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERNEIGH",
        "first_name": "MIRIAM",
        "middle_name": "ELIZABETH GLORIA",
        "name_prefix": "Mrs.",
        "credential": "MSN RN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.