Active NPI
Manpreet K Rattan, APRN, FNP-C
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1831722412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144880
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 895647 | TX | MD | Registered Nurse |
| AP144880 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siripurapu Associates PLLC Medical Associates of North Texas | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1023495702
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1689455685
-
- Primary Care Clinic/Center
- Fort Worth, TX
- NPI 1053762237
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
- Courtney Jenea Ratliff, LMSW
- Pardeep Kumar Ratnani, DO
- Ratner Center for Physical Therapy and Wellness, LLC
- Jennifer Rosenfield Ratner, MSPT
- Jaswinder Singh Rattan, M.D.
- Raiford Adrian Rattan, D.P.M.
- Jeffrey Charles Rau, PT, MS, FAAOMPT
- Lauryn Rauch, FNP-C
- Ali Shariq Rauf, DO, MS
- Taylor Raulerson, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.