Individual provider Active NPI

Cheryl Lynn Elmore, NP

  • Family Nurse Practitioner
  • Benbrook, TX
National Provider Identifier
1679123285
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143062 Issued in TX
Practice address
6100 Southwest Blvd Ste 100
Benbrook, TX 76109-3964
Phone
(817) 989-1221
Fax
(817) 989-1175
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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 AP143062 TX Primary

Addresses

Primary practice location

6100 Southwest Blvd Ste 100
Benbrook, TX 76109-3964

Mailing address

6100 Southwest Blvd Ste 100
Benbrook, TX 76109-3964
Phone (817) 989-1221

Other names 1

  • Ms. Cheryl Lynn Bell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cheryle@robinroberts.emadirect.md Health Information Exchange (HIE)

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
I20191107001747 TX Practitioner - Nurse Practitioner 1456783703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

2801 S Hulen St
400 U.S. Dermatology Partners
Fort Worth, TX 76109-1528
Phone (817) 921-2838

Merit-based Incentive Payment System (MIPS)

Final score
86.19 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
84.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP143062TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Specialists of Fort Worth PLLC CurrentSince Oct 16, 2019 Accepting new patients
Oliver Street 5.01(a) Inc. CurrentSince Jul 1, 2025 Accepting new patients
Dermatology Associates Past Accepting new patients

Locations

6131 Southwest Blvd
Ste 100
Benbrook, TX 76132
Phone (817) 989-1221

6100 Southwest Blvd
Ste 100
Benbrook, TX 76109
Phone (817) 989-1221

2801 S Hulen St
Ste 400
Ft Worth, TX 76109
Phone (817) 921-2838

2321 Ira E Woods Ave
Ste 180
Grapevine, TX 76051
Phone (817) 329-2263

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1679123285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD STE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093964",
            "telephone_number": "817-989-1221",
            "fax_number": "817-989-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD STE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093964",
            "telephone_number": "817-989-1221",
            "fax_number": "817-989-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryle@robinroberts.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "workplace EMR direct mail address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "patient info",
            "address_1": "6100 Southwest Blvd Ste 100",
            "city": "Benbrook",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761093964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BELL",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.