MRS. ELIZABETH ANN BURNETT RN, CPNP PC/AC
NPI 1265821698
Nurse Practitioner - Pediatrics in Fort Worth, TX
About Mrs. Elizabeth Ann Burnett Rn, Cpnp Pc/ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELIZABETH ANN BURNETT RN, CPNP PC/AC (NPI 1265821698) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (AP127118) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dallas.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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 (PECOS)
Mrs. Elizabeth Ann Burnett Rn, Cpnp Pc/ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Elizabeth Burnett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 clinicians in this Medicare group
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, Texas enrollment
- 3 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.
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 Elizabeth Burnett's NPI number?
The NPI number for Elizabeth Burnett is 1265821698. It was assigned to this individual provider in the NPPES registry on January 22, 2015. The provider is also known as Elizabeth Ann Nutt.
Where is Elizabeth Burnett located?
Elizabeth Burnett practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 303-0376.
What is Elizabeth Burnett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Elizabeth Burnett enrolled in Medicare?
Yes. Elizabeth Burnett is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Elizabeth Burnett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Burnett reassigns Medicare benefits to 3 organizations: Cook Children's Physician Network (Fort Worth, TX), University Of Texas Southwestern Medical Center At Dallas (Fort Worth, TX) and Easy Health Medical Solutions PC (Fulton, MD). 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 Elizabeth Burnett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Burnett accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and WellPoint list Elizabeth Burnett 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 Elizabeth Burnett was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Elizabeth Ann Burnett, RN, CPNP PC/AC · NPI 1265821698
Pediatrics physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since January 22, 2015.
## Identity
- **NPI:** 1265821698 (Entity type: Individual)
- **Enumerated:** January 22, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP127118 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 COOPER ST, Fort Worth, TX 76104-2710
- **Phone:** (682) 303-0376 · **Fax:** (682) 303-0377
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Cook Children's Physician Network (NPI 1548230923, Fort Worth, TX); University Of Texas Southwestern Medical Center At Dallas (NPI 1225082050, Fort Worth, TX); Easy Health Medical Solutions PC (NPI 1972179141, Fulton, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1265821698) · Data from the CMS NPPES public registry.