CLARA FORMUSOH NP
NPI 1023406576
Nurse Practitioner - Family in Fort Worth, TX
About Clara Formusoh Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARA FORMUSOH NP (NPI 1023406576) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP127181) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clara Formusoh Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Harris Methodist Hospital Fort Worth
Acute Care Hospitals · Fort Worth, TXPhysician 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Clara Formusoh's NPI number?
The NPI number for Clara Formusoh is 1023406576. It was assigned to this individual provider in the NPPES registry on January 7, 2015.
Where is Clara Formusoh located?
Clara Formusoh practices at 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.
What is Clara Formusoh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Clara Formusoh enrolled in Medicare?
Yes. Clara Formusoh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Clara Formusoh accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Providence Health Plan and WellPoint list Clara Formusoh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Clara Formusoh affiliated with any hospitals?
According to CMS data, Clara Formusoh is affiliated with Texas Health Harris Methodist Hospital Fort Worth.
When was this NPI record last updated?
The NPPES record for Clara Formusoh was last updated on February 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Clara Formusoh, NP · NPI 1023406576
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since January 7, 2015.
## Identity
- **NPI:** 1023406576 (Entity type: Individual)
- **Enumerated:** January 7, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP127181 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 W TERRELL AVE STE K230, Fort Worth, TX 76104-2820
- **Phone:** (817) 250-4906 · **Fax:** (817) 250-1815
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 17, 2016
- **Other identifiers:** Medicare PIN 392281YKPW (TX); Medicaid 343075301 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1023406576) · Data from the CMS NPPES public registry.