Individual provider Active NPI

Bernita Gallagher Chance, RNP

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1689784274
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
666037 Issued in TX
Practice address
2928 N Belt Line Rd
Irving, TX 75062-5247
Phone
(214) 307-7786
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 666037 TX Primary

Addresses

Primary practice location

2928 N Belt Line Rd
Irving, TX 75062-5247

Mailing address

PO Box 132795
The Woodlands, TX 77393-2795
Phone (936) 273-2016

Other practice location 1

3115 College Park Dr
Suite 110
The Woodlands, TX 77384-4000
Phone (936) 273-2016

Other identifiers 1

IdentifierTypeStateIssuer
666037OtherTXLICENSE

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
I20230503001223 TX Practitioner - Nurse Practitioner 8921463548 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
666037TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Heartcare of Dallas, LLC CurrentSince Mar 30, 2023 Accepting new patients
Legacy Heartcare of Dallas, LLC CurrentSince Mar 30, 2023 Accepting new patients
Legacy Heart Care of Grand Prairie, LLC CurrentSince Mar 30, 2023 Accepting new patients
Legacy Heart Care of Fort Worth, LLC CurrentSince Mar 30, 2023 Accepting new patients
Oak Street Health of Texas, PLLC Family CurrentSince Jul 10, 2023 Accepting new patients
Legacy Heart Care of North Dallas, LLC CurrentSince Mar 8, 2023 Accepting new patients
Woodlands Internists ,P.a Past Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

7515 Greenville Ave
Ste 1010
Dallas, TX 75231
Phone (972) 838-7255

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

1950 Ephriham Ave
Fort Worth, TX 76164
Phone (817) 813-7075

2500 West Fwy
Ste 200
Ft Worth, TX 76102
Phone (817) 423-4400

4927 Lake Ridge Pkwy
Ste 145
Grand Prairie, TX 75052
Phone (817) 423-4400

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2928 N Belt Line Rd
Irving, TX 75062
Phone (214) 307-7786

4716 Dexter Dr
Ste 200
Plano, TX 75093
Phone (817) 502-7027

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Interoperability endpoints

  • Direct secure messaging: bernie.chance@oakstreethealth.gwaydirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AHGEAA

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLC 103 clinicians

Practice addresses (Care Compare)

2740 Valwood Pkwy
Suite 121
Dallas, TX 75234-3562
Phone (469) 518-3200

2928 N Belt Line Rd
Irving, TX 75062-5247
Phone (214) 307-7786

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1689784274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132795",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932795",
            "telephone_number": "936-273-2016",
            "fax_number": "936-273-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625247",
            "telephone_number": "214-307-7786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 College Park Dr",
            "address_2": "SUITE 110",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773844000",
            "country_code": "US",
            "telephone_number": "936-273-2016",
            "fax_number": "936-273-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "BERNITA",
        "middle_name": "GALLAGHER",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "666037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "666037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.