WHITNEY CHILDS PACK CPNP-AC
NPI 1396401030
Nurse Practitioner - Acute Care in Fort Worth, TX
About Whitney Childs Pack Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY CHILDS PACK CPNP-AC (NPI 1396401030) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (1020646) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Whitney Childs Pack Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Whitney Pack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 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
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 Whitney Pack's NPI number?
The NPI number for Whitney Pack is 1396401030. It was assigned to this individual provider in the NPPES registry on November 16, 2021. The provider is also known as Whitney Childs.
Where is Whitney Pack located?
Whitney Pack practices at 801 7th Ave, Fort Worth, TX 76104. The listed phone number is (682) 885-3817.
What is Whitney Pack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Whitney Pack enrolled in Medicare?
Yes. Whitney Pack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Whitney Pack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Pack reassigns Medicare benefits to Cook Children's Physician Network (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 Whitney Pack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Whitney Pack accept?
Health plans from Imperial Insurance Companies, Inc. list Whitney Pack 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 Whitney Pack was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Whitney Childs Pack, CPNP-AC · NPI 1396401030
Acute Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since November 16, 2021.
## Identity
- **NPI:** 1396401030 (Entity type: Individual)
- **Enumerated:** November 16, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1020646 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 7TH AVE, Fort Worth, TX 76104-2733
- **Phone:** (682) 885-3817 · **Fax:** (682) 885-3825
## 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:** Cook Children's Physician Network (NPI 1083472062, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396401030) · Data from the CMS NPPES public registry.