Brenda R Ibarra, NP
Individual provider Active NPI Family Nurse Practitioner · Dallas, TX
NPI 1669918058 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1669918058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP132585 (TX)
- Practice address
- 8210 Walnut Hill LN Ste 905
Dallas, TX 75231-4422 - Phone
- (214) 378-7605
- Fax
- (214) 253-2250
- NPI assigned
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170317000206 | TX | Practitioner - Nurse Practitioner | 2163706995 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jemin N. Gajipara MD PA | Current |
Accepting new patients |
Locations
8210 Walnut Hill Ln
Ste 905
Dallas, TX 75231
Phone (214) 378-7605
Interoperability endpoints
- brenda.matheus@paincareopt.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP132585 | TX | Yes |
Addresses
Primary practice location
8210 Walnut Hill LN Ste 905
Dallas, TX 75231-4422
Mailing address
9330 LBJ Fwy Ste 800
Dallas, TX 75243-4310
Phone (972) 792-5700
Other names
- Brenda R Matheus
Other providers in Dallas, TX
- Iba Molecular North America, Inc
- Franco Ibanez
- Nicholas Ibanez
- Dulce Adriana Ibarra de Salazar
- Aurelio Ibarra
- Juan Antonio Ibarra
- Lisby Ibarra
- Michael Aaron Ibarra
- Nikole Ibarra
- Ehireme Anthony Ibazebo
All providers in Dallas, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.