Individual provider Active NPI

Manpreet K Rattan, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1831722412
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144880 Issued in TX
Practice address
1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102
Phone
(972) 433-7178
Fax
(972) 544-6604
NPI assigned
Feb 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 895647 TX
Family Nurse Practitioner 363LF0000X AP144880 TX Primary

Addresses

Primary practice location

1023 Lipscomb St Ste 200
Fort Worth, TX 76104-3102

Mailing address

6420 Cimmaron TRL
Colleyville, TX 76034-8806
Phone (817) 917-8262

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
I20230315000927 TX Practitioner - Nurse Practitioner 3870967839 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
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1023 Lipscomb St
Suite 200
Fort Worth, TX 76104-3102
Phone (972) 544-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
895647TXMDRegistered Nurse
AP144880TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siripurapu Associates PLLC Medical Associates of North Texas CurrentSince Mar 1, 2023 Accepting new patients
Suresh Kankanala M.D, P.a. Past Accepting new patients

Locations

1023 Lipscomb St
Ste 200
Fort Worth, TX 76104
Phone (972) 544-6600

2111 Fort Worth Hwy
Weatherford, TX 76086
Phone (817) 596-3700

Interoperability endpoints

  • Direct secure messaging: manpreet.rattan@mdntx.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1831722412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CIMMARON TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348806",
            "telephone_number": "817-917-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 LIPSCOMB ST STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043102",
            "telephone_number": "972-433-7178",
            "fax_number": "972-544-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTAN",
        "first_name": "MANPREET",
        "middle_name": "K",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "895647",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.