ELEANOR HOPPE PHILLIPS FNP
NPI 1124787023
Nurse Practitioner - Family in Fort Worth, TX
About Eleanor Hoppe Phillips Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELEANOR HOPPE PHILLIPS FNP (NPI 1124787023) is an individual family provider in Fort Worth, Texas, licensed in Texas (1057517) and active in the NPI registry since December 2021. She has opted out of Medicare through May 13, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Eleanor Hoppe Phillips Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2026 through May 13, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76109 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 Eleanor Phillips's NPI number?
The NPI number for Eleanor Phillips is 1124787023. It was assigned to this individual provider in the NPPES registry on December 8, 2021.
Where is Eleanor Phillips located?
Eleanor Phillips practices at 3728 Somerset Ln, Fort Worth, TX 76109. The listed phone number is (336) 406-8657.
What is Eleanor Phillips's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Eleanor Phillips enrolled in Medicare?
No. Eleanor Phillips has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Eleanor Phillips was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Eleanor Hoppe Phillips, FNP · NPI 1124787023
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since December 8, 2021.
## Identity
- **NPI:** 1124787023 (Entity type: Individual)
- **Enumerated:** December 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1057517 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3728 SOMERSET LN, Fort Worth, TX 76109-3555
- **Phone:** (336) 406-8657
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 13, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124787023) · Data from the CMS NPPES public registry.