Individual provider Active NPI

Nicole Marie Petite, APRN

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1679339832
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1181369 Issued in TX
Practice address
7100 Oakmont Blvd Ste 207
Fort Worth, TX 76132-3908
Phone
(817) 292-8585
NPI assigned
Feb 26, 2024
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1181369 TX Primary
Family Nurse Practitioner 363LF0000X 11717 MN

Addresses

Primary practice location

7100 Oakmont Blvd Ste 207
Fort Worth, TX 76132-3908

Mailing address

6900 Harris Pkwy
Fort Worth, TX 76132-4255
Phone (817) 292-8585

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
I20250313000812 TX Practitioner - Nurse Practitioner 9830610310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Pain Relief Group PLLCGroup PAC ID 2668603952, 14 clinicians

Practice addresses (Care Compare)

6900 Harris Pkwy
Suite 300
Fort Worth, TX 76132-4261
Phone (817) 292-8585

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11717MNMDFamily Nurse Practitioner
1181369TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Pain Relief Group PLLC CurrentSince Jan 20, 2025 Accepting new patients
Texas Pain Relief Group, PLLC CurrentSince Jan 20, 2025 Accepting new patients
Oakwood Medical Services, PLLC PastSince Jul 22, 2025 Accepting new patients

Locations

6900 Harris Pkwy
Ste 300
Ft Worth, TX 76132
Phone (817) 292-8585

1717 Precinct Line Rd
Ste 200
Hurst, TX 76054
Phone (817) 369-3990

2730 Virginia Pkwy
Ste 300
McKinney, TX 75071
Phone (469) 298-1486

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, 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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1679339832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324255",
            "telephone_number": "817-292-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-292-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETITE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1181369",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.