KEELY NICOLE GRANT-MIRLE DNP, APRN, FNP-BC
NPI 1093117848
Nurse Practitioner - Family in Mansfield, TX
About Keely Nicole Grant-mirle Dnp, Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEELY NICOLE GRANT-MIRLE DNP, APRN, FNP-BC (NPI 1093117848) is an individual family provider in Mansfield, Texas, licensed in Texas (626608) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keely Nicole Grant-mirle Dnp, Aprn, Fnp-bc 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.
Medicare Billing Reassignments
3Medicare enrollment records show Keely Grant-mirle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duncanville, TX 75116
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Jps Health Network
Acute Care Hospitals · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Keely Grant-mirle's NPI number?
The NPI number for Keely Grant-mirle is 1093117848. It was assigned to this individual provider in the NPPES registry on September 24, 2014.
Where is Keely Grant-mirle located?
Keely Grant-mirle practices at 733 Highway 287 N Ste 405, Mansfield, TX 76063. The listed phone number is (682) 936-1311.
What is Keely Grant-mirle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Keely Grant-mirle enrolled in Medicare?
Yes. Keely Grant-mirle 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.
Which organizations bill Medicare for Keely Grant-mirle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keely Grant-mirle reassigns Medicare benefits to 3 organizations: (Duncanville, TX), Acclaim Physician Group, Inc (Fort Worth, TX) and Healthtexas Provider Network (Fort Worth, TX). Each 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 Keely Grant-mirle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keely Grant-mirle accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Keely Grant-mirle 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 Keely Grant-mirle affiliated with any hospitals?
According to CMS data, Keely Grant-mirle is affiliated with Jps Health Network.
When was this NPI record last updated?
The NPPES record for Keely Grant-mirle was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Keely Nicole Grant-Mirle, DNP, APRN, FNP-BC · NPI 1093117848
Family physician in Mansfield, Texas. Individual provider, active in the CMS NPPES registry since September 24, 2014.
## Identity
- **NPI:** 1093117848 (Entity type: Individual)
- **Enumerated:** September 24, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 626608 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 733 HIGHWAY 287 N STE 405, Mansfield, TX 76063-3866
- **Phone:** (682) 936-1311 · **Fax:** (682) 316-9950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): (NPI 1952318750, Duncanville, TX); Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Healthtexas Provider Network (NPI 1295628709, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 25, 2024
- **Other identifiers:** Medicaid 345791301 (TX); Other 8726NP (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1093117848) · Data from the CMS NPPES public registry.