DR. MELISSA ANN POOLE-DUBIN
NPI 1144967605
Nurse Practitioner - Family in Fort Worth, TX
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Melissa Poole-dubin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 15 clinicians in this Medicare group
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 1,452 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 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.
Where is Melissa Poole-dubin located?
Melissa Poole-dubin practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (605) 415-5834.
What is Melissa Poole-dubin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Poole-dubin enrolled in Medicare?
Yes. Melissa Poole-dubin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Melissa Poole-dubin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Poole-dubin reassigns Medicare benefits to 3 organizations: Nto Physician Partners, PLLC (Grapevine, TX), Emergency Medicine Services Of Tx, PLLC (San Antonio, TX) and Ut Physicians (Houston, 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 Melissa Poole-dubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Poole-dubin accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Melissa Poole-dubin 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 Melissa Poole-dubin was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Melissa Ann Poole-Dubin · NPI 1144967605
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 17, 2022.
## Identity
- **NPI:** 1144967605 (Entity type: Individual)
- **Enumerated:** May 17, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1073764 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1400 8TH AVE, Fort Worth, TX 76104-4110
- **Phone:** (605) 415-5834
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Nto Physician Partners, PLLC (NPI 1114443181, Grapevine, TX); Emergency Medicine Services Of Tx, PLLC (NPI 1245938729, San Antonio, TX); Ut Physicians (NPI 1033157821, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 17, 2022
- **Other identifiers:** Other 1073764 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1144967605) · Data from the CMS NPPES public registry.