Individual provider Active NPI

Janel Duval

  • Nurse Practitioner
  • White Settlement, TX
National Provider Identifier
1790318079
Registry record updated Aug 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142722 Issued in TX
Practice address
9304 Diane CT
White Settlement, TX 76108-7068
Phone
(830) 377-9171
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2021

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 AP142722 TX Primary

Addresses

Primary practice location

9304 Diane CT
White Settlement, TX 76108-7068

Mailing address

9304 Diane CT
White Settlement, TX 76108-7068
Phone (830) 377-9171

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
I20220107001353 TX Practitioner - Nurse Practitioner 8628460318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Well Crest Medical Clinic PLLCGroup PAC ID 4082994249, 3 clinicians

Practice addresses (Care Compare)

11797 S Fwy
Suite 246
Burleson, TX 76028-7035
Phone (817) 615-8627

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142722TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Crest Medical Clinic PLLC CurrentSince Oct 1, 2023 Accepting new patients
Be Well Primary Care Medicine PLLC CurrentSince Sep 15, 2021 Accepting new patients
Huguley Medical Associates CurrentSince Oct 1, 2023 Accepting new patients

Locations

721 Southeast Pkwy
Azle, TX 76020
Phone (817) 270-3627

11803 South Fwy
Ste 205
Burleson, TX 76028
Phone (817) 293-1200

11797 South Fwy
Ste 246
Burleson, TX 76028
Phone (817) 551-5539

3800 North Tarrant Pkwy
Ste 210
Fort Worth, TX 76244
Phone (214) 919-4635

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1790318079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 DIANE CT",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761087068",
            "telephone_number": "830-377-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 DIANE CT",
            "city": "WHITE SETTLEMENT",
            "state": "TX",
            "postal_code": "761087068",
            "telephone_number": "830-377-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "JANEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Settlement, TX

Sources for this page

Verify at the official NPI Registry.