Individual provider Active NPI

Hedrine Mande Nana, RN, FNP

  • Family Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1760723209
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
754156 Issued in TX
Practice address
601 N Industrial Blvd
Bedford, TX 76021-5234
Phone
(817) 283-0161
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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 754156 TX Primary

Addresses

Primary practice location

601 N Industrial Blvd
Bedford, TX 76021-5234

Mailing address

PO Box 167342
Irving, TX 75016-7342
Phone (469) 628-4247

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
I20130626000088 TX Practitioner - Nurse Practitioner 4284873167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gupta DO and Associates LLCGroup PAC ID 6305879677, 8 clinicians

Practice addresses (Care Compare)

3950 S Carrier Pkwy
Suite 110 Integra Urgent Care
Grand Prairie, TX 75052-6671
Phone (469) 640-1710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
754156TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Mar 12, 2013 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Mar 12, 2013 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Apr 8, 2017 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3500 Gaston Ave
Dallas, TX 75246

1500 S Main St
Fl 1
Ft Worth, TX 76104
Phone (817) 702-1451

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

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

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 5

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1760723209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167342",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750167342",
            "telephone_number": "469-628-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N INDUSTRIAL BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215234",
            "telephone_number": "817-283-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANA",
        "first_name": "HEDRINE",
        "middle_name": "MANDE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "754156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.