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SUZANNE SOPHIA WOMBOUGH FNP-C
NPI 1124634621
Nurse Practitioner - Family in Fort Worth, TX

Active since September 20, 2020PECOS Enrolled
6844 HARRIS PARKWAY, FORT WORTH, TX 76132(817) 263-0007(817) 263-1118 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2023, Feb 16, 2021, Sep 20, 2020 (3 updates tracked since 2020).

About Suzanne Sophia Wombough Fnp-c NPPES

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

SUZANNE SOPHIA WOMBOUGH FNP-C (NPI 1124634621) is an individual family provider in Fort Worth, Texas, licensed in Texas (1010579) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colleyville.

NPPES Registry Identity

NPI1124634621
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUZANNE SOPHIA WOMBOUGHCredential: FNP-C
Location Address6844 HARRIS PARKWAYFort Worth, TX 76132
Mailing Address6844 Harris ParkwayFort Worth, TX 76132 · (817) 263-0007 · Fax (817) 263-1118
Phone(817) 263-0007
Fax(817) 263-1118
Sole ProprietorNo
Enumeration DateSeptember 20, 2020
Last NPPES UpdateJuly 3, 20233 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1124634621 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
License✔ Licensed in TX · 1010579
6844 HARRIS PARKWAY, Fort Worth, TX 76132
Open in Google Maps ↗

Secondary Practice Location 1

Location 12110 Tarleton CtColleyville, TX 76034-5663 · Phone (214) 929-4696

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne Sophia Wombough Fnp-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Suzanne Wombough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anjanette Tan MD PA
Same address
Endocrinology, Diabetes & Metabolism
6844 HARRIS PKWY STE 300
Ft Worth, TX 76132
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1649989237 (817) 263-0007
Diabetes And Thyroid Center Of Fort Worth, PLLC
Same address
Endocrinology, Diabetes & Metabolism
6844 HARRIS PARKWAY
Ft. Worth, TX 76132
  • Reassigned Medicare billing, Texas enrollment
  • 6 clinicians in this Medicare group
NPI 1326373143 (817) 263-0007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims16 services$6.54 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers30 claims30 services$178.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA DIANE MIJARES AGNP
Nurse Practitioner
6844 HARRIS PARKWAY
FORT WORTH, TX 76132
Tarrant County (817) 263-0007
DIABETES AND THYROID CENTER OF FORT WORTH, PLLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6844 HARRIS PARKWAY
FT. WORTH, TX 76132
Tarrant County (817) 263-0007
RACHEL MARTHA MANSHEIM NP
Nurse Practitioner (Family)
6844 HARRIS PARKWAY
FT WORTH, TX 76132
Tarrant County (817) 263-0007
MS. SARA MATANI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6844 HARRIS PARKWAY
FT. WORTH, TX 76132
Tarrant County (817) 263-0007
DARREN LACKAN M.D., P.A.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6844 HARRIS PARKWAY
FT. WORTH, TX 76132
Tarrant County (817) 263-0007

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 Suzanne Wombough's NPI number?

The NPI number for Suzanne Wombough is 1124634621. It was assigned to this individual provider in the NPPES registry on September 20, 2020.

Where is Suzanne Wombough located?

Suzanne Wombough practices at 6844 Harris Parkway, Fort Worth, TX 76132. The listed phone number is (817) 263-0007.

What is Suzanne Wombough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Suzanne Wombough enrolled in Medicare?

Yes. Suzanne Wombough is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Suzanne Wombough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Wombough reassigns Medicare benefits to 2 organizations: Anjanette Tan MD PA (Ft Worth, TX) and Diabetes And Thyroid Center Of Fort Worth, PLLC (Ft. 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 Suzanne Wombough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Suzanne Wombough was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.