Individual provider Active NPI

Margaret Lacuesta, AGNP

  • Gerontology Nurse Practitioner
  • Lake Worth, TX
National Provider Identifier
1831613074
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1083960 Issued in TX
Practice address
3914 Telephone Rd
Lake Worth, TX 76135-2908
Phone
(817) 238-0109
Fax
(817) 238-0647
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016034714 MO
Gerontology Nurse Practitioner 363LG0600X 1083960 TX Primary

Addresses

Primary practice location

3914 Telephone Rd
Lake Worth, TX 76135-2908

Mailing address

3914 Telephone Rd
Lake Worth, TX 76135-2908
Phone (817) 238-0109

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
I20230502001527 TX Practitioner - Nurse Practitioner 2860766730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians

Practice addresses (Care Compare)

3914 Telephone Rd
Lake Worth, TX 76135-2908
Phone (817) 238-0109

6116 Lake Worth Blvd
Lake Worth, TX 76135-3703
Phone (817) 984-3260

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Azle Hospital, Azle, TX, CCN 450419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1083960TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas PLLC CurrentSince Mar 13, 2023 Accepting new patients
Medical Clinic of North Texas, PLLC CurrentSince Mar 13, 2023 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

3914 Telephone Rd
Lake Worth, TX 76135
Phone (817) 238-0109

Interoperability endpoints

  • Direct secure messaging: margaret.lacuesta@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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 1

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1831613074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 TELEPHONE RD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761352908",
            "telephone_number": "817-238-0109",
            "fax_number": "817-238-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 TELEPHONE RD",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761352908",
            "telephone_number": "817-238-0109",
            "fax_number": "817-238-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACUESTA",
        "first_name": "MARGARET",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016034714",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1083960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, TX

Sources for this page

Verify at the official NPI Registry.