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ALISA D CUPP APRN-CNP
NPI 1225786932
Nurse Practitioner - Family in Fort Worth, TX

Active since March 11, 2022PECOS Enrolled
9509 N BEACH ST STE 102, FORT WORTH, TX 76244(817) 396-7271 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2023, Mar 11, 2022 (2 updates tracked since 2022).

About Alisa D Cupp Aprn-cnp NPPES

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

ALISA D CUPP APRN-CNP (NPI 1225786932) is an individual family provider in Fort Worth, Texas, licensed in Texas (1056561) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225786932
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISA D CUPPCredential: APRN-CNP
Location Address9509 N BEACH ST STE 102Fort Worth, TX 76244-6399
Mailing Address7012 Greenspoint DrArlington, TX 76001-6780 · (806) 220-6141
Phone(817) 396-7271
Sole ProprietorNo
Enumeration DateMarch 11, 2022
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1225786932 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 · 1056561
9509 N BEACH ST STE 102, Fort Worth, TX 76244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa D Cupp Aprn-cnp 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 Reassignment

Medicare enrollment records show Alisa Cupp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Center Of Lubbock, Inc
266 mi
Federally Qualified Health Center (FQHC)
406 MLK BLVD
Lubbock, TX 79403
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1891768321 (806) 767-9744

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 76244 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 7

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

HUNG LE M.D.
Internal Medicine
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
CONTINUUM PEDIATRICS PLLC
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
PRIYA RAMCHANDRA MD
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
SUVARNA KOLLURI M.D.
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
CYNTHIA GIOVANNETTI MD
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
JAEHEE KIM
Nurse Practitioner (Pediatrics)
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600
DR. KRYSTYNA WESP D.O.
Pediatrics
9509 N BEACH ST STE 102
FORT WORTH, TX 76244
Tarrant County (817) 617-8600

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 Alisa Cupp's NPI number?

The NPI number for Alisa Cupp is 1225786932. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Alisa Cupp located?

Alisa Cupp practices at 9509 N Beach St Ste 102, Fort Worth, TX 76244. The listed phone number is (817) 396-7271.

What is Alisa Cupp's specialty?

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

Is Alisa Cupp enrolled in Medicare?

Yes. Alisa Cupp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alisa Cupp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Cupp reassigns Medicare benefits to Community Health Center Of Lubbock, Inc (Lubbock, TX). The 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 Alisa Cupp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Cupp accept?

Health plans from Blue Cross and Blue Shield of Texas and Cigna Healthcare list Alisa Cupp 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 Alisa Cupp was last updated on January 12, 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.