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KEELY NICOLE GRANT-MIRLE DNP, APRN, FNP-BC
NPI 1093117848
Nurse Practitioner - Family in Mansfield, TX

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment
733 HIGHWAY 287 N STE 405, MANSFIELD, TX 76063(682) 936-1311(682) 316-9950 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1093117848
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEELY NICOLE GRANT-MIRLECredential: DNP, APRN, FNP-BC
Location Address733 HIGHWAY 287 N STE 405Mansfield, TX 76063-3866
Mailing Address733 Highway 287 N Ste 405Mansfield, TX 76063-3866 · (682) 936-1311 · Fax (682) 316-9950
Phone(682) 936-1311
Fax(682) 316-9950
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2014
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1093117848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 626608✔ Licensed in TX · AP126492
733 HIGHWAY 287 N STE 405, Mansfield, TX 76063
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Other Identifiers 2

Medicaid345791301TX
Other8726NPTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, WellPoint.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

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.

PECOS PAC ID244555290
PECOS Enrollment IDI20150213001406
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services83 patients

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, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician 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.

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.

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.

What insurance does Keely Grant-mirle accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and WellPoint 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.