MISS RUKHSANA RAHMETULLA RN., MSN, CPNP
NPI 1053547158
Nurse Practitioner - Pediatrics in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since June 03, 2009PECOS Enrolled

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4007(682) 885-3914 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 25, 2023, Sep 29, 2015 (2 updates tracked since 2015).

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About Miss Rukhsana Rahmetulla Rn., Msn, Cpnp NPPES

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

MISS RUKHSANA RAHMETULLA RN., MSN, CPNP (NPI 1053547158) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (AP107520) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053547158

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMISS RUKHSANA RAHMETULLACredential: RN., MSN, CPNP

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(682) 885-4007

Fax(682) 885-3914

Sole ProprietorNo

Enumeration DateJune 3, 2009

Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1053547158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in TX · AP107520✔ Licensed in MO · 2009011662

1500 COOPER ST, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Rukhsana Rahmetulla Rn., Msn, Cpnp 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.

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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

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.

JAMES P MILLER MD

Surgery (Pediatric Surgery)