DENISE ANN PACK NP
NPI 1124732185
Nurse Practitioner - Gerontology in Dallas, TX

Active since January 12, 2023PECOS Enrolled
13140 COIT RD STE 315, DALLAS, TX 75240(214) 272-7829(972) 777-9896 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2025, Jul 25, 2023, Jan 12, 2023 (3 updates tracked since 2023).

About Denise Ann Pack Np NPPES

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

DENISE ANN PACK NP (NPI 1124732185) is an individual gerontology provider in Dallas, Texas, licensed in Texas (1105740) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124732185
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDENISE ANN PACKCredential: NP
Location Address13140 COIT RD STE 315Dallas, TX 75240-5753
Mailing Address12801 Parkersburg DrFort Worth, TX 76244-5719 · (720) 273-1961
Fax(972) 777-9896
Sole ProprietorYes
Enumeration DateJanuary 12, 2023
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1124732185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1105740
13140 COIT RD STE 315, Dallas, TX 75240

Other Identifiers 1

Other0000Na

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Ann Pack Np 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

3

Medicare enrollment records show Denise Pack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
13140 COIT RD # 405A
Dallas, TX 75240
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
Gerontology
2410 LUNA RD # 204
Carrollton, TX 75006
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Nurse Practitioner
9300 JOHN HICKMAN PKWY STE 205-E
Frisco, TX 75035
  • Reassigned Medicare billing, Texas enrollment

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 75240 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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

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

Home Health
13140 COIT RD STE 315
DALLAS, TX 75240

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 Denise Pack's NPI number?

The NPI number for Denise Pack is 1124732185. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Denise Pack located?

Denise Pack practices at 13140 Coit Rd Ste 315, Dallas, TX 75240. The listed phone number is (214) 272-7829.

What is Denise Pack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Denise Pack enrolled in Medicare?

Yes. Denise Pack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Denise Pack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Pack reassigns Medicare benefits to 3 organizations: One Point Palliative Care LLC (Dallas, TX), Sunnyssix, PLLC (Carrollton, TX) and Almighty Palliative Care LLC (Frisco, 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 Denise Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denise Pack accept?

Health plans from Blue Cross and Blue Shield of Texas list Denise Pack 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.

When was this NPI record last updated?

The NPPES record for Denise Pack was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.