Individual provider Active NPI

Candace Gabrielle Renfro, AGACNP

  • Adult Health Nurse Practitioner
  • Keller, TX
National Provider Identifier
1841928512
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1068528 Issued in TX
Practice address
100 Bourland Rd Ste 150
Keller, TX 76248-3595
Phone
(817) 753-6250
NPI assigned
Aug 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1068528 TX
Adult Health Nurse Practitioner 363LA2200X 1068528 TX Primary

Addresses

Primary practice location

100 Bourland Rd Ste 150
Keller, TX 76248-3595

Mailing address

1203 Krista Dr
Burleson, TX 76028-8611
Phone (817) 521-9290

Other practice location 1

1110 Cottonwood Ln Ste 105
Irving, TX 75038-6113
Phone (972) 607-2525

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
I20221020000518 TX Practitioner - Nurse Practitioner 3274909908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

10840 Texas Health TRL
Suite 260
Fort Worth, TX 76244-6850
Phone (682) 212-5440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Healthtexas Provider Network CurrentSince Oct 24, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Oct 24, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Mar 1, 2024 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

10840 Texas Health Trl
Ste 260
Fort Worth, TX 76244
Phone (682) 212-5440

1110 Cottonwood Ln
Ste 105
Irving, TX 75038
Phone (972) 607-2525

100 Bourland Rd
Ste 150
Keller, TX 76248
Phone (817) 753-6250

Interoperability endpoints

  • Direct secure messaging: crenfro1129312@direct.sw.org

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1841928512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 KRISTA DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288611",
            "telephone_number": "817-521-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOURLAND RD STE 150",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483595",
            "telephone_number": "817-753-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 Cottonwood Ln Ste 105",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750386113",
            "country_code": "US",
            "telephone_number": "972-607-2525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFRO",
        "first_name": "CANDACE",
        "middle_name": "GABRIELLE",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1068528",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1068528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.