Individual provider Active NPI

Tera Patricia Watts, PA-C

  • Physician Assistant
  • Benbrook, TX
National Provider Identifier
1689001406
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08482 Issued in TX
Practice address
320 Mercedes St
Benbrook, TX 76126-2593
Phone
(817) 249-7323
NPI assigned
Oct 11, 2013
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08482 TX Primary

Addresses

Primary practice location

320 Mercedes St
Benbrook, TX 76126-2593

Mailing address

6844 Harris Parkway
Ft. Worth, TX 76132
Phone (817) 263-0007

Other practice location 1

6844 Harris Pkwy Ste 300
Ft Worth, TX 76132
Phone (817) 263-0007

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
I20170607000603 TX Practitioner - Physician Assistant 9133496524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 684-2708

251 Westpark Way
Suite 212
Euless, TX 76040-3707
Phone (214) 570-2319

320 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 249-7323

350 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 717-5390

8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
Phone (214) 345-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Mar 1, 2025 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2025 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

320 Mercedes St
Benbrook, TX 76126
Phone (817) 249-7323

Interoperability endpoints

  • Direct secure messaging: tera.puckett@direct.emm.nextgenshare.com
  • Direct secure messaging: twatts2618391@direct.texashealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1689001406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 HARRIS PARKWAY",
            "city": "FT. WORTH",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-263-0007",
            "fax_number": "817-263-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262593",
            "telephone_number": "817-249-7323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6844 Harris Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "76132",
            "country_code": "US",
            "telephone_number": "817-263-0007",
            "fax_number": "817-263-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "TERA",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.