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

Q: 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.

Q: What is Alisa Cupp's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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