Individual provider Active NPI

Levi Eckroth, FNP-C

  • Family Nurse Practitioner
  • Frisco, TX
National Provider Identifier
1851970552
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1034113 Issued in TX
Practice address
2552 Eldorado Pkwy Ste 550
Frisco, TX 75033-8630
Phone
(214) 729-1407
NPI assigned
Apr 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1034113 TX Primary

Addresses

Primary practice location

2552 Eldorado Pkwy Ste 550
Frisco, TX 75033-8630

Mailing address

9415 Panther Creek Pkwy Apt 1424
Frisco, TX 75035-1124
Phone (214) 729-1407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leckroth449795@direct.texashealth.org Health Information Exchange (HIE)

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
I20220316003036 TX Practitioner - Nurse Practitioner 9739574476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

2552 Eldorado Pkwy
Suite 550
Frisco, TX 75033-8630
Phone (469) 495-9114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1034113TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Family CurrentSince Feb 1, 2024 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care CurrentSince Feb 1, 2024 Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

2552 Eldorado Pkwy
Ste 550
Frisco, TX 75033
Phone (469) 495-9114

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1851970552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 PANTHER CREEK PKWY APT 1424",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351124",
            "telephone_number": "214-729-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 ELDORADO PKWY STE 550",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750338630",
            "telephone_number": "214-729-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKROTH",
        "first_name": "LEVI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1034113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leckroth449795@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health information exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2552 Eldorado Pkwy Ste 550",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750338630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.