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ANNELISE KUTZLER
NPI 1013545615
Obstetrics & Gynecology in Fort Worth, TX

Active since March 30, 2020PECOS Enrolled
1400 8TH AVE, FORT WORTH, TX 76104(817) 922-4534 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2026, Jul 7, 2022, Mar 30, 2020 (3 updates tracked since 2020).

About Annelise Kutzler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNELISE KUTZLER (NPI 1013545615) is an individual obstetrics & gynecology provider in Fort Worth, Texas, licensed in Texas (1669472387) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1013545615
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANNELISE KUTZLER
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address1250 8th Ave Ste 435Fort Worth, TX 76104-4144
Phone(817) 922-4534
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1013545615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · 1669472387
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1400 8TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Secondary Practice Location 1

Location 14760 Barwick DrFort Worth, TX 76132-1529 · Phone (817) 346-9533

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annelise Kutzler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Annelise Kutzler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Care, P.L.L.C.
Same address
Surgery
1250 8TH AVE., SUITE 120
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Health Care PLLC
  • 511 clinicians in this Medicare group
NPI 1033275318 (817) 923-6900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074
ERIN LENORA SCHWARZ CRNA, DNP
Nurse Anesthetist, Certified Registered
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annelise Kutzler's NPI number?

The NPI number for Annelise Kutzler is 1013545615. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Annelise Kutzler located?

Annelise Kutzler practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 922-4534.

What is Annelise Kutzler's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Annelise Kutzler enrolled in Medicare?

Yes. Annelise Kutzler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annelise Kutzler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annelise Kutzler reassigns Medicare benefits to Texas Health Care, P.L.L.C. (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annelise Kutzler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Annelise Kutzler was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.