MICHELLE MARIE WHITE
NPI 1356029573
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Q: What is Michelle White's NPI number?

The NPI number for Michelle White is 1356029573. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Q: What is Michelle White's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michelle White was last updated on July 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2023PECOS Enrolled

801 7TH AVE, FORT WORTH, TX 76104(682) 885-4000 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2023, Jul 7, 2023 (2 updates tracked since 2023).

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About Michelle Marie White NPPES

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

MICHELLE MARIE WHITE (NPI 1356029573) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (1129242) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356029573

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMICHELLE MARIE WHITE

Location Address801 7TH AVEFort Worth, TX 76104-2796

Mailing Address1207 Roaring Springs RdFort Worth, TX 76114-4488 · (817) 774-7415

Phone(682) 885-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 7, 2023

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1356029573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1129242

Also ListedRegistered NurseTaxonomy 163W00000X · License 959402 (TX)

801 7TH AVE, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Marie White is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375045255

PECOS Enrollment IDI20250909001200

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 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.

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.

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