DR. MELISSA ANN POOLE-DUBIN
NPI 1144967605
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Melissa Poole-dubin's NPI number?

The NPI number for Melissa Poole-dubin is 1144967605. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Melissa Poole-dubin's specialty?

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

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment

1400 8TH AVE, FORT WORTH, TX 76104(605) 415-5834 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Melissa Ann Poole-dubin NPPES

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

DR. MELISSA ANN POOLE-DUBIN (NPI 1144967605) is an individual family provider in Fort Worth, Texas, licensed in Texas (1073764) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1144967605

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. MELISSA ANN POOLE-DUBIN

Location Address1400 8TH AVEFort Worth, TX 76104-4110

Mailing Address2401 Clairborne DrFort Worth, TX 76177-8204 · (605) 415-5834

Phone(605) 415-5834

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1144967605 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 · 1073764

1400 8TH AVE, Fort Worth, TX 76104

Open in Google Maps ↗

Other Identifiers 1

Other1073764TX · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare.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

Dr. Melissa Ann Poole-dubin 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 ID3274904370

PECOS Enrollment IDI20230128000121

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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

265 services119 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

19 services19 patients

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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

JOEY MAYOR MD

Emergency Medicine