Individual provider Active NPI

Angela Michelle Flores, W.H.C.N.P.

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1831237627
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
691022 Issued in TX
Practice address
4760 Barwick Dr Ste a
Fort Worth, TX 76132-1529
Phone
(817) 346-9533
Fax
(817) 346-9788
NPI assigned
Feb 2, 2007
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 691022 TX Primary

Addresses

Primary practice location

4760 Barwick Dr Ste a
Fort Worth, TX 76132-1529

Mailing address

P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400

Other identifiers 1

IdentifierTypeStateIssuer
186950501MedicaidTX

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
I20070612000138 TX Practitioner - Nurse Practitioner 5193823342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Care PLLCGroup PAC ID 7214840867, 363 clinicians

Practice addresses (Care Compare)

1250 8TH Ave
Fort Worth, TX 76104-4144

4760 Barwick Dr
Suite a
Fort Worth, TX 76132-1529
Phone (817) 346-9533

6700 Buenos Aires Dr
N Richland Hills, TX 76180-6566
Phone (817) 281-8245

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Care, P.L.L.C. Current Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Feb 5, 2007 Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients

Locations

1250 8th Ave
Ste 435
Fort Worth, TX 76104
Phone (817) 923-0088

4760 Barwick Dr
Ste A
Fort Worth, TX 76132
Phone (817) 346-9533

2821 Lackland Rd
Ste 300
Ft Worth, TX 76116
Phone (817) 740-8400

4760 Barwick Dr
Ste C
Ft Worth, TX 76132
Phone (817) 335-8478

6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245

Interoperability endpoints

  • Direct secure messaging: angela.flores.p1@direct.thc.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1831237627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 961205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611205",
            "telephone_number": "817-740-8400",
            "fax_number": "817-346-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 BARWICK DR STE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321529",
            "telephone_number": "817-346-9533",
            "fax_number": "817-346-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "W.H.C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "691022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186950501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.