Individual provider Active NPI

Diane St Pierre, ACNP

  • Acute Care Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1750427068
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
657861 Issued in TX
Practice address
500 S Henderson St Ste 200
Fort Worth, TX 76104-2154
Phone
(817) 413-1500
Fax
(817) 413-1499
NPI assigned
Jan 30, 2007
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 657861 TX Primary

Addresses

Primary practice location

500 S Henderson St Ste 200
Fort Worth, TX 76104-2154

Mailing address

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

Other names 1

  • Brooks Flanagan Former name

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
I20070712000745 TX Practitioner - Nurse Practitioner 9830299320 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

500 S Henderson St
Suite 200
Fort Worth, TX 76104-2154
Phone (817) 413-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
657861TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 1, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2014 Accepting new patients
Texas Centers for Infectious Disease Associates PA CurrentSince Feb 1, 2016 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Oct 17, 2016 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Dec 4, 2023 Accepting new patients
Texas Oncology PA CurrentSince Dec 4, 2023 Accepting new patients
Tarrant County Infectious Disease Associates PastSince Oct 6, 2019 Accepting new patients
Sumana Ketha, MD PA PastSince Jul 20, 2004 Accepting new patients

Locations

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

3410 Worth St
Ste 780
Dallas, TX 75246
Phone (817) 810-9810

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

1025 College Ave
Fort Worth, TX 76104
Phone (817) 810-9810

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

500 S Henderson St
Ste 200
Ft Worth, TX 76104
Phone (817) 413-1500

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

5236 W University Dr
Ste 4500
McKinney, TX 75071
Phone (972) 596-6733

Interoperability endpoints

  • Direct secure messaging: diane.stpierre@txo.ikm.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCBBA

Organizations & group practices 10

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1750427068",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S HENDERSON ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042154",
            "telephone_number": "817-413-1500",
            "fax_number": "817-413-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "DIANE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "657861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKS",
            "last_name": "FLANAGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.