Individual provider Active NPI

Denim Renee Ervin, FNP-C

  • Physical Medicine & Rehabilitation Physician
  • Paris, TX
National Provider Identifier
1679789291
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
AP115721 Issued in TX
Practice address
3550 NE Loop 286
Paris, TX 75460-5004
Phone
(903) 785-0031
Fax
(903) 784-6755
NPI assigned
May 14, 2007
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03157 AR
Family Nurse Practitioner 363LF0000X R26629 TX
Family Nurse Practitioner 363LF0000X 95843 OK
Physical Medicine & Rehabilitation Physician 208100000X AP115721 TX Primary

Addresses

Primary practice location

3550 NE Loop 286
Paris, TX 75460-5004

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

3550 NE Loop 286
Paris, TX 75460
Phone (903) 785-0031

Other names 1

  • Denim Renee Holland, Seals, Boler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3001 E President George Bush Hwy
Suite 100
Richardson, TX 75082-3542

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP115721TXMDPhysical Medicine & Rehabilitation Physician
A03157ARMDFamily Nurse Practitioner
95843OKMDFamily Nurse Practitioner
R26629TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Jan 21, 2019 Accepting new patients
Texas Oncology PA CurrentSince Jan 21, 2019 Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2101 Mulberry Ave
Mt Pleasant, TX 75455
Phone (903) 434-4850

3550 NE Loop 286
Paris, TX 75460
Phone (903) 785-0031

Interoperability endpoints

  • Direct secure messaging: denim.ervin@txo.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1679789291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605004",
            "telephone_number": "903-785-0031",
            "fax_number": "903-784-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 NE Loop 286",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "75460",
            "country_code": "US",
            "telephone_number": "903-785-0031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "DENIM",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "R26629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "95843",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "AP115721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENIM",
            "last_name": "HOLLAND, SEALS, BOLER",
            "middle_name": "RENEE",
            "credential": "APRN, BC, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.