Individual provider Active NPI

Patrina Leslie Rogers, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1992513527
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018300 Issued in TX
Practice address
2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321
Phone
(214) 426-3645
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 1018300 TX Primary

Addresses

Primary practice location

2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321

Mailing address

2922B Martin Luther King Jr Blvd
Dallas, TX 75215-2321
Phone (214) 426-3645

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
I20260317000281 TX Practitioner - Nurse Practitioner 1658854757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2922 -B MLK Jr Blvd
Dallas, TX 75215

2922 -B MLK Jr Blvd
Dallas, TX 75215-2321

2922 Martin Luther King Jr Blvd
B
Dallas, TX 75215-2395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018300TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shibli Family Medicine and Obesity Clinic PLLC CurrentSince Jan 12, 2025 Accepting new patients
Martin Luther King Jr Family Clinic CurrentSince Jan 24, 2026 Accepting new patients

Locations

3515 Shepherd Ln
Balch Springs, TX 75180
Phone (214) 426-3645

2922 Mlk Blvd
#B
Dallas, TX 75215
Phone (214) 425-3645

2922 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (214) 426-3645

802 US Highway 80 E
Mesquite, TX 75149
Phone (469) 556-7186

Interoperability endpoints

  • Direct secure messaging: patrina.rogers.1@17390.direct.athenahealth.com

Organizations & group practices 2

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1992513527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922B MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152321",
            "telephone_number": "214-426-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922B MARTIN LUTHER KING JR BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152321",
            "telephone_number": "214-426-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PATRINA",
        "middle_name": "LESLIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.