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LISA DIANE MIJARES AGNP
NPI 1134513401
Nurse Practitioner in Fort Worth, TX

Active since March 25, 2015PECOS Enrolled
6844 HARRIS PARKWAY, FORT WORTH, TX 76132(817) 263-0007(817) 263-1118 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa Diane Mijares Agnp NPPES

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

LISA DIANE MIJARES AGNP (NPI 1134513401) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (AP127690) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134513401
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLISA DIANE MIJARESCredential: AGNP
Location Address6844 HARRIS PARKWAYFort Worth, TX 76132
Mailing Address6844 Harris ParkwayFort Worth, TX 76132 · (817) 263-0007 · Fax (817) 529-2640
Phone(817) 263-0007
Fax(817) 263-1118
Sole ProprietorNo
Enumeration DateMarch 25, 2015
Last NPPES UpdateJune 30, 2023
NPPES CertifiedJune 20, 2023
✔ NPI 1134513401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP127690
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP127690 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP127690 (TX)
6844 HARRIS PARKWAY, Fort Worth, TX 76132
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Diane Mijares Agnp 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 Lisa Mijares 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.

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.

SUZANNE SOPHIA WOMBOUGH FNP-C
Nurse Practitioner (Family)
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 Lisa Mijares's NPI number?

The NPI number for Lisa Mijares is 1134513401. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Lisa Mijares located?

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

What is Lisa Mijares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Mijares enrolled in Medicare?

Yes. Lisa Mijares is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Mijares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Mijares 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 Lisa Mijares'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 Lisa Mijares was last updated on June 30, 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.