Individual provider Active NPI

Amy Lynn Zagurski, NP

  • Adult Health Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1902238512
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
693166 Issued in TX
Practice address
1643 Lancaster Dr
Ste. 203
Grapevine, TX 76051-3593
Phone
(817) 329-7670
Fax
(817) 416-0145
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 693166 TX Primary

Addresses

Primary practice location

1643 Lancaster Dr
Ste. 203
Grapevine, TX 76051-3593

Mailing address

1643 Lancaster Dr
Ste. 203
Grapevine, TX 76051-3593
Phone (817) 329-7670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azagurski225816@direct.sw.org

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
I20130920000647 TX Practitioner - Nurse Practitioner 9032353610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2020 W Hwy 114
Suite 200
Grapevine, TX 76051-8648
Phone (817) 416-7214

2020 W State Hwy 114 120
Baylor Family Med Ctr Grapevine
Grapevine, TX 76051-8648
Phone (817) 912-8300

4716 Alliance Blvd
Plano, TX 75093-5325

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6000 W Spring Creek Pkwy
220 Baylor Scott and White Cardiovascular Con
Plano, TX 75024-3578
Phone (469) 800-4400

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott and White the Heart Hospital Corinth Hospital, Denton, TX, CCN 670347

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Nov 2, 2015 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Nov 2, 2015 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

2020 W State Highway 114
Ste 200
Grapevine, TX 76051
Phone (817) 416-7214

2020 W State Highway 114
Grapevine, TX 76051
Phone (214) 867-6600

1643 Lancaster Dr
Ste 203
Grapevine, TX 76051
Phone (817) 329-7670

6000 W Spring Creek Pkwy
Ste 220
Plano, TX 75024
Phone (469) 800-4400

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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.

Hospital & facility affiliations 4

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1902238512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR",
            "address_2": "STE. 203",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-7670",
            "fax_number": "817-416-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR",
            "address_2": "STE. 203",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-329-7670",
            "fax_number": "817-416-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGURSKI",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "693166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azagurski225816@direct.sw.org",
            "affiliation": "N",
            "address_1": "6000 W Spring Creek Pkwy Ste 220",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750244128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.