ALESHA MARIE ALLSUP APRN
NPI 1316772775
Nurse Practitioner - Family in Fort Worth, TX

Active since September 05, 2024PECOS EnrolledAccepts Medicare Assignment
3200 RIVERFRONT DR STE 207, FORT WORTH, TX 76107(817) 882-6754 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alesha Marie Allsup Aprn NPPES

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

ALESHA MARIE ALLSUP APRN (NPI 1316772775) is an individual family provider in Fort Worth, Texas, licensed in Texas (1172657) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316772775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALESHA MARIE ALLSUPCredential: APRN
Location Address3200 RIVERFRONT DR STE 207Fort Worth, TX 76107-6534
Mailing Address3200 Riverfront Dr Ste 207Fort Worth, TX 76107-6534 · (817) 882-6754
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1316772775 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 · 1172657
3200 RIVERFRONT DR STE 207, Fort Worth, TX 76107

Other Names 1

Former Name (1)Alesha Marie Gauntt

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

Alesha Marie Allsup Aprn 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 ID7911430863
PECOS Enrollment IDI20241030002077
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 Alesha Allsup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
3200 RIVERFRONT DR STE 207
Fort Worth, TX 76107
  • 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 76107 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

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

Pain Medicine (Pain Medicine)
3200 RIVERFRONT DR STE 207
FORT WORTH, TX 76107

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 Alesha Allsup's NPI number?

The NPI number for Alesha Allsup is 1316772775. It was assigned to this individual provider in the NPPES registry on September 5, 2024. The provider is also known as Alesha Marie Gauntt.

Where is Alesha Allsup located?

Alesha Allsup practices at 3200 Riverfront Dr Ste 207, Fort Worth, TX 76107. The listed phone number is (817) 882-6754.

What is Alesha Allsup's specialty?

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

Is Alesha Allsup enrolled in Medicare?

Yes. Alesha Allsup 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 Alesha Allsup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alesha Allsup reassigns Medicare benefits to Peak Physical Medicine And Wellness PLLC (Fort Worth, 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 Alesha Allsup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alesha Allsup accept?

Health plans from Blue Cross and Blue Shield of Texas list Alesha Allsup 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 Alesha Allsup was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.