Individual provider Active NPI

Leeanne Vandegriff, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1760074470
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1030530 Issued in TX
Practice address
800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone
(817) 759-7000
Fax
(817) 759-7027
NPI assigned
Feb 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 592063 TX
Family Nurse Practitioner 363LF0000X AP1030530 TX Primary

Addresses

Primary practice location

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Other practice location 1

1029 Whistle Stop Dr
Saginaw, TX 76131-4919
Phone (817) 219-6814

Other identifiers 1

IdentifierTypeStateIssuer
592063OtherTXTEXAS BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lvandegriff@txcc.direct.varian.com Direct Oncology-Hematology Consultants PA

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
I20210729000141 TX Practitioner - Nurse Practitioner 2769885672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Magnolia Ave
The Ctr for Can and
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
592063TXMDNurse Practitioner
AP1030530TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Consultants PA CurrentSince Oct 17, 2022 Accepting new patients
Oncology Hematology Consultants, PA CurrentSince Oct 17, 2022 Accepting new patients

Locations

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Interoperability endpoints

  • Direct secure messaging: lvandegriff@txcc.oncoemrdirect.com

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": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1760074470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1029 Whistle Stop Dr",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761314919",
            "country_code": "US",
            "telephone_number": "817-219-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEGRIFF",
        "first_name": "LEEANNE",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "592063",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1030530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "592063",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lvandegriff@txcc.direct.varian.com",
            "affiliation": "Y",
            "affiliationName": "Oncology-Hematology Consultants PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 W Magnolia Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.