Individual provider Active NPI

Ellen Becker, AGNP-C

  • Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1700390440
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP134387 Issued in TX
Practice address
4441 Long Prairie Rd Ste 400
Flower Mound, TX 75028-5410
Phone
(214) 382-3200
NPI assigned
Nov 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP134387 TX Primary

Addresses

Primary practice location

4441 Long Prairie Rd Ste 400
Flower Mound, TX 75028-5410

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472
Phone (469) 850-5760

Other practice location 1

6149 Windhaven Pkwy Ste 130
Plano, TX 75093
Phone (972) 881-1320

Other practice location 2

2777 E Southlake Blvd Ste 140
Southlake, TX 76092-8017
Phone (214) 382-3200

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
I20180514002172 TX Practitioner - Nurse Practitioner 7810251170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Partners PLLCGroup PAC ID 6800173204, 95 clinicians

Practice addresses (Care Compare)

251 W Medical Ctr Blvd
Suite 200
Webster, TX 77598-4242
Phone (866) 552-4866

2777 E Southlake Blvd
Suite 140
Southlake, TX 76092-8017
Phone (866) 552-4866

4421 Long Prairie Rd
Suite 200
Flower Mound, TX 75028-1752
Phone (866) 552-4866

5575 Warren Pkwy
Suite 101
Frisco, TX 75034-4066
Phone (972) 712-4161

6149 Windhaven Pkwy
Suite 130
Plano, TX 75093-8298
Phone (866) 552-4866

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134387TXMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ellen.becker.1@2477.direct.athenahealth.com

Organizations & group practices 1

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": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1700390440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472",
            "telephone_number": "469-850-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 LONG PRAIRIE RD STE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285410",
            "telephone_number": "214-382-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6149 Windhaven Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75093",
            "country_code": "US",
            "telephone_number": "972-881-1320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2777 E Southlake Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760928017",
            "country_code": "US",
            "telephone_number": "214-382-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECKER",
        "first_name": "ELLEN",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP134387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.