1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Nurse Practitioner
  6. NPI Profile

MISTIE B. GRANBERRY FNP
NPI 1639587462
Nurse Practitioner in Fort Worth, TX

Active since July 24, 2014PECOS EnrolledAccepts Medicare Assignment
1250 8TH AVE STE 240, FORT WORTH, TX 76104(817) 927-0456(817) 927-4323 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mistie B. Granberry Fnp NPPES

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

MISTIE B. GRANBERRY FNP (NPI 1639587462) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (AP125723) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639587462
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISTIE B. GRANBERRYCredential: FNP
Location Address1250 8TH AVE STE 240Fort Worth, TX 76104-4139
Mailing AddressP.o. Box 961205Fort Worth, TX 76161-1205 · (817) 740-8400 · Fax (817) 927-4323
Phone(817) 927-0456
Fax(817) 927-4323
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 24, 2014
Last NPPES UpdateJuly 25, 2014
✔ NPI 1639587462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP125723
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1250 8TH AVE STE 240, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mistie B. Granberry Fnp 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 ID6507085685
PECOS Enrollment IDI20140923000747
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
400 services198 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services11 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
14 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670103
Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County
Emergency services Birthing friendly

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.

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 Mistie Granberry's NPI number?

The NPI number for Mistie Granberry is 1639587462. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Mistie Granberry located?

Mistie Granberry practices at 1250 8th Ave Ste 240, Fort Worth, TX 76104. The listed phone number is (817) 927-0456.

What is Mistie Granberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mistie Granberry enrolled in Medicare?

Yes. Mistie Granberry 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.

What insurance does Mistie Granberry accept?

Health plans from Blue Cross and Blue Shield of Texas list Mistie Granberry 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.

Is Mistie Granberry affiliated with any hospitals?

According to CMS data, Mistie Granberry is affiliated with Medical City Denton and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Mistie Granberry was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.