Individual provider Active NPI

Maureen C. Kurgat, CNP

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1821674276
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029091 Issued in TX
Practice address
3614 Camp Bowie Blvd
Fort Worth, TX 76107-3352
Phone
(817) 478-6041
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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 1029091 TX Primary

Addresses

Primary practice location

3614 Camp Bowie Blvd
Fort Worth, TX 76107-3352

Mailing address

4661 Pangolin Dr
Fort Worth, TX 76244-4218
Phone (763) 568-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Minuteclinic Health Information Exchange (HIE)

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
I20221028002345 TX Practitioner - Nurse Practitioner 6204203508 Reassigns benefits to 4 organizations

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
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

5900 W Pleasant Ridge Rd
Arlington, TX 76016-4427
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1029091TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Oct 17, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Oct 17, 2022 Accepting new patients
Minuteclinic Primary Care Texas PLLC Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Oct 17, 2022 Accepting new patients

Locations

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

5900 W Pleasant Ridge Rd
Arlington, TX 76016
Phone (817) 468-6041

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

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

11661 Preston Rd
Ste 218
Dallas, TX 75230
Phone (214) 363-1571

3614 Camp Bowie Blvd
Ft Worth, TX 76107
Phone (817) 428-5558

1003 Richmond Ave
Houston, TX 77006
Phone (713) 807-8491

5002 W Main St
League City, TX 77573
Phone (281) 557-4374

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

2900 Broadway St
Pearland, TX 77581
Phone (281) 997-4400

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

1301 N Saginaw Blvd
Saginaw, TX 76179
Phone (817) 676-4362

5301 Alamo Pkwy
San Antonio, TX 78253
Phone (210) 688-9311

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1821674276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4661 PANGOLIN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444218",
            "telephone_number": "763-568-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073352",
            "telephone_number": "817-478-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURGAT",
        "first_name": "MAUREEN",
        "middle_name": "C.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Minuteclinic",
            "affiliation": "N",
            "endpointDescription": "Arlington",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5900 W Pleasant Ridge Rd",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760164427",
            "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.