MARY K WHITEHEAD NP
NPI 1184868218
Nurse Practitioner - Family in Fort Worth, TX

Active since April 20, 2009PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
1300 W TERRELL AVE FL 2, FORT WORTH, TX 76104(817) 820-4906(817) 820-4815 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary K Whitehead Np NPPES

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

MARY K WHITEHEAD NP (NPI 1184868218) is an individual family provider in Fort Worth, Texas, licensed in Texas (238596) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1184868218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY K WHITEHEADCredential: NP
Location Address1300 W TERRELL AVE FL 2Fort Worth, TX 76104-2820
Mailing Address1300 W Terrell Ave Fl 2Fort Worth, TX 76104-2820 · (817) 820-4906 · Fax (817) 820-4815
Fax(817) 820-4815
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 20, 2009
Last NPPES UpdateMay 18, 2012
✔ NPI 1184868218 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 · 238596
1300 W TERRELL AVE FL 2, Fort Worth, TX 76104

Other Identifiers 2

Medicare PIN8L12152TX
Medicare PINTXB150679TX

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

Mary K Whitehead Np 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 ID4981752771
PECOS Enrollment IDI20090505000404
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

3

Medicare enrollment records show Mary Whitehead reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
Internal Medicine
724 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Psychiatry
240 N MILLER RD
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 284 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.

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES 16

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

Internal Medicine
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Nurse Practitioner (Acute Care)
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE FL 2
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE FL 2
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 Mary Whitehead's NPI number?

The NPI number for Mary Whitehead is 1184868218. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Mary Whitehead located?

Mary Whitehead practices at 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104. The listed phone number is (817) 820-4906.

What is Mary Whitehead's specialty?

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

Is Mary Whitehead enrolled in Medicare?

Yes. Mary Whitehead 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 Mary Whitehead's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Whitehead reassigns Medicare benefits to 3 organizations: Texas Health Physicians Group (Fort Worth, TX), Fort Worth Medical Specialists PLLC (Fort Worth, TX) and Texas Health Virtual Care (Mansfield, 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 Mary Whitehead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Whitehead 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 1 other insurer list Mary Whitehead 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 Mary Whitehead was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.