PURPLE HEARTS PRIMARY CARE SERVICES, PLLC
NPI 1043703358
Clinic/Center - Primary Care in Grand Prairie, TX

Active since June 11, 2018
688 W PIONEER PKWY STE 120, GRAND PRAIRIE, TX 75051(817) 969-4651(214) 710-2188 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2020, May 16, 2020, Feb 6, 2020 and 3 more (6 updates tracked since 2018).

  • Organization
  • Clinic/Center
  • Primary Care
  • Accepts Insurance

About PURPLE HEARTS PRIMARY CARE SERVICES, PLLC

This page provides the complete NPI Profile along with additional information for Purple Hearts Primary Care Services, Pllc, a primary care provider established in Grand Prairie, Texas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1043703358 assigned on June 2018. The practitioner's primary taxonomy code is 261QP2300X with license number AP137299 (TX). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's former legal business name is Purple Hearts Primary Care Services. The authorized official of this NPI record is Ms. Raven Modisette Fnp-c,pmhnp-bc (Ceo)

NPI
1043703358 Verify this NPI
Provider Legal Name
PURPLE HEARTS PRIMARY CARE SERVICES, PLLC
Other Organization Name
PURPLE HEARTS PRIMARY CARE SERVICES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
688 W PIONEER PKWY STE 120 GRAND PRAIRIE, TX 75051
Location Phone
(817) 969-4651
Location Fax
(214) 710-2188
Mailing Address
3901 ARLINGTON HIGHLANDS BLVD STE 281 ARLINGTON, TX 76018
Mailing Phone
(817) 969-4651
Mailing Fax
(214) 710-2188
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2018
Last Update Date
12-07-2020
Code Navigator

A primary care provider (PCP) like Purple Hearts Primary Care Services, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 3901 Arlington Highlands Blvd Ste 200
    Arlington, TX 76018
    (817) 695-5035

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
AP137299
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Wellpoint Essential Bronze 4000 HSA (+ Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. RAVEN MODISETTE FNP-C,PMHNP-BC

Authorized Official Title
CEO
Authorized Official Phone
(817) 969-4651

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
393575101MEDICAID (05)TX 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Community Health)
688 W PIONEER PKWY STE 120
GRAND PRAIRIE, TX 75051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043703358, enumerated as an "organization" on June 11, 2018.

The provider is located at 688 W PIONEER PKWY STE 120 GRAND PRAIRIE, TX 75051 and the phone number is (817) 969-4651.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: WellPoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.