HEART AND SOUL MEDICAL PA
NPI 1336975903
Nurse Practitioner - Primary Care in Fort Worth, TX
About Heart And Soul Medical Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEART AND SOUL MEDICAL PA (NPI 1336975903) is a healthcare organization registered as a primary care in Fort Worth, Texas and active in the NPI registry since September 2024. The organization lists Taylor Carol, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heart And Soul Medical Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Heart And Soul Medical PA, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Cumming, GA 30041
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Heart And Soul Medical PA's NPI number?
The NPI number for Heart And Soul Medical PA is 1336975903. It was assigned to this organization in the NPPES registry on September 11, 2024.
Where is Heart And Soul Medical PA located?
Heart And Soul Medical PA is located at 600 W 6th St Ste 455, Fort Worth, TX 76102. The listed phone number is (949) 322-6878.
What is Heart And Soul Medical PA's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Heart And Soul Medical PA enrolled in Medicare?
Yes. Heart And Soul Medical PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heart And Soul Medical PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Heart And Soul Medical PA, in Emergency Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Heart And Soul Medical PA accept?
Health plans from Blue Cross and Blue Shield of Texas list Heart And Soul Medical PA 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 Heart And Soul Medical PA was last updated on September 11, 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.
# Heart And Soul Medical Pa · NPI 1336975903
Primary Care organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since September 11, 2024.
## Identity
- **NPI:** 1336975903 (Entity type: Organization)
- **Enumerated:** September 11, 2024
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Taylor Carol, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 600 W 6TH ST STE 455, Fort Worth, TX 76102-3684
- **Phone:** (949) 322-6878
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1336975903) · Data from the CMS NPPES public registry.