MR. DYKSTRA FREEMAN NP
NPI 1578042727
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3636 Get Directions Write a Review

NPPES record last updated: August 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Dykstra Freeman Np NPPES

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

MR. DYKSTRA FREEMAN NP (NPI 1578042727) is an individual psychiatric/mental health provider in Fort Worth, Texas, licensed in Texas (AP138419) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578042727
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. DYKSTRA FREEMANCredential: NP
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address5800 Preston Oaks Rd Apt 1086Dallas, TX 75254-8709 · (337) 305-1602
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 8, 2018
✔ NPI 1578042727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP138419
1500 S MAIN ST, Fort Worth, TX 76104

Secondary Practice Location 1

Location 15800 Preston Oaks Rd Apt 1086Dallas, TX 75254-8709 · Phone (337) 305-1602

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

Mr. Dykstra Freeman Np 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 ID7810237112
PECOS Enrollment IDI20190325000810
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 Reassignments

4

Medicare enrollment records show Dykstra Freeman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
5637 N TARRANT PKWY STE B
Fort Worth, TX 76244
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
823 IRA E WOODS AVE STE 200
Grapevine, TX 76051
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 480 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 435 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.

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 20

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

Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Physician Assistant
1500 S MAIN ST
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 Dykstra Freeman's NPI number?

The NPI number for Dykstra Freeman is 1578042727. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Dykstra Freeman located?

Dykstra Freeman practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3636.

What is Dykstra Freeman's specialty?

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

Is Dykstra Freeman enrolled in Medicare?

Yes. Dykstra Freeman 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 organizations bill Medicare for Dykstra Freeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dykstra Freeman reassigns Medicare benefits to 4 organizations: Edwards Dfw (Fort Worth, TX), MD Trucare PA (Grapevine, TX), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). Each 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 Dykstra Freeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dykstra Freeman accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Dykstra Freeman 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 Dykstra Freeman was last updated on August 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.