Organization Active NPI

Frontera Medical Group LLC

  • Family Nurse Practitioner
  • Weatherford, TX
National Provider Identifier
1760358741
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FRONTERA MEDICAL GROUP LLC
Practice address
254 Legacy Blvd
Weatherford, TX 76085-2602
Phone
(817) 271-5817
NPI assigned
Oct 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Bejamin Hamilton, NP
Title
Owner/Provider
Phone
(817) 271-5817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

254 Legacy Blvd
Weatherford, TX 76085-2602

Mailing address

254 Legacy Blvd
Weatherford, TX 76085-2602
Phone (817) 271-5817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260203003731 KS Part B Supplier - Clinic/Group Practice 0648758268 Receives reassigned benefits from 1 practitioner
Practice locations: Oakley, KS
O20260415002745 AR Part B Supplier - Clinic/Group Practice 0648758268 Receives reassigned benefits from 1 practitioner
Practice locations: Camden, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1760358741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 LEGACY BLVD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760852602",
            "telephone_number": "817-271-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 LEGACY BLVD",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760852602",
            "telephone_number": "817-271-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTERA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "BEJAMIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-271-5817",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.