Individual provider Active NPI

Denise Renee Innes, FNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1689888398
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
674692 Issued in TX
Practice address
1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009
Phone
(817) 912-8000
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 674692 TX Primary

Addresses

Primary practice location

1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009

Mailing address

1650 W Magnolia Ave
Suite 207
Fort Worth, TX 76104-4009
Phone (817) 912-8000

Other identifiers 1

IdentifierTypeStateIssuer
1954364-03MedicaidTX

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
I20080228000595 TX Practitioner - Nurse Practitioner 7416031463 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catapult Health PA CurrentSince Sep 18, 2025 Accepting new patients
Catapult Health, LLC PastSince Sep 18, 2025 Accepting new patients

Locations

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1689888398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044009",
            "telephone_number": "817-912-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W MAGNOLIA AVE",
            "address_2": "SUITE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044009",
            "telephone_number": "817-912-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNES",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "674692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1954364-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.