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AVERY NOLEN M.D.
NPI 1306281423
Family Medicine in Mansfield, TX

Active since May 02, 2013PECOS EnrolledAccepts Medicare Assignment
1601 E. DEBBIE LANE, SUITE 2109, MANSFIELD, TX 76063(817) 473-9125(817) 473-9126 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2021, Aug 31, 2016 (2 updates tracked since 2016).

About Avery Nolen M.d. NPPES

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

AVERY NOLEN M.D. (NPI 1306281423) is an individual family medicine provider in Mansfield, Texas, licensed in Texas (Q6548) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Medical City Arlington, and is a graduate of East Tennessee State University Quillen College Of Medicine (2013).

NPPES Registry Identity

NPI1306281423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAVERY NOLENCredential: M.D.
Location Address1601 E. DEBBIE LANE, SUITE 2109Mansfield, TX 76063
Mailing Address1601 E. Debbie Lane, Suite 2109Mansfield, TX 76063 · (817) 473-9125 · Fax (817) 473-9126
Phone(817) 473-9125
Fax(817) 473-9126
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2013
Enumeration DateMay 2, 2013
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1306281423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q6548
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1601 E. DEBBIE LANE, Mansfield, TX 76063
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Other Identifiers 2

Other8FS687TX · Blue Cross
Medicaid359802101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.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

Avery Nolen M.d. 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 ID4688996077
PECOS Enrollment IDI20160714002218
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 Avery Nolen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medhealth
5.6 mi
Urgent Care
4560 LAKE RIDGE PKWY STE 110
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 562 clinicians in this Medicare group
NPI 1558762690 (972) 522-7778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
276 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services64 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
78 services78 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers28 claims58 services$5.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

PATRICIA RAMBO APRN
Nurse Practitioner (Family)
1601 E. DEBBIE LANE, SUITE 2109
MANSFIELD, TX 76063
Tarrant County (817) 473-9125

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 Avery Nolen's NPI number?

The NPI number for Avery Nolen is 1306281423. It was assigned to this individual provider in the NPPES registry on May 2, 2013.

Where is Avery Nolen located?

Avery Nolen practices at 1601 E. Debbie Lane Suite 2109, Mansfield, TX 76063. The listed phone number is (817) 473-9125.

What is Avery Nolen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Avery Nolen enrolled in Medicare?

Yes. Avery Nolen 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 organization bills Medicare for Avery Nolen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avery Nolen reassigns Medicare benefits to Medhealth (Grand Prairie, 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 Avery Nolen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avery Nolen accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Molina Healthcare and 3 other insurers list Avery Nolen 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.

Is Avery Nolen affiliated with any hospitals?

According to CMS data, Avery Nolen is affiliated with Medical City Arlington, Methodist Charlton Medical Center and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Avery Nolen was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.