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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CLYDE EDWARD HARTMAN PA
NPI 1154371771
Physician Assistant in Fort Worth, TX

Active since May 12, 2006PECOS Enrolled
300 W ROSEDALE ST, FORT WORTH, TX 76104(817) 335-2202(817) 882-6595 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clyde Edward Hartman Pa NPPES

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

MR. CLYDE EDWARD HARTMAN PA (NPI 1154371771) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA00352) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154371771
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CLYDE EDWARD HARTMANCredential: PA
Location Address300 W ROSEDALE STFort Worth, TX 76104-4856
Mailing Address3809 Ashley LnFort Worth, TX 76123-1305 · (817) 294-8134
Phone(817) 335-2202
Fax(817) 882-6595
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1154371771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA00352
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 W ROSEDALE ST, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Clyde Edward Hartman Pa 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.

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
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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 20

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

TERESA DEL CARMEN LUGO M.D.
Internal Medicine
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
JOHN HOUSTON SMITH MD10
Surgery
300 W ROSEDALE ST
FT WORTH, TX 76104
Tarrant County (817) 882-6052
MRS. KHALDA SHERE M.D., M.P.H.
Family Medicine
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
MRS. KAMI GAY SCHELLER RPH
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 335-2202
MR. EUGENE DOUGLAS PROVAN RPH
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (800) 849-3597
DR. ANTHONY J CIPRIANO DMD, MPH
Dentist
300 W ROSEDALE ST, VA/FWOPC
FORT WORTH, TX 76104
Tarrant County (817) 882-6205
MR. DAVID H. WASHINGTON RPH
Pharmacist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 882-6000
DR. KATHLEEN MARIE HOGAN-BENTZ D.M.D.
Dentist
300 W ROSEDALE ST
FORT WORTH, TX 76104
Tarrant County (817) 882-6021

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 Clyde Hartman's NPI number?

The NPI number for Clyde Hartman is 1154371771. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Clyde Hartman located?

Clyde Hartman practices at 300 W Rosedale St, Fort Worth, TX 76104. The listed phone number is (817) 335-2202.

What is Clyde Hartman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Clyde Hartman enrolled in Medicare?

Yes. Clyde Hartman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clyde Hartman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.