ALLA HAVENS FNP-BC
NPI 1639615347
Nurse Practitioner - Family in Fort Worth, TX

Active since January 18, 2017PECOS EnrolledAccepts Medicare Assignment
80.24/100
CMS Quality Rating
4900 BOAT CLUB RD, FORT WORTH, TX 76135(682) 428-7711(817) 238-6291 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2021, Feb 15, 2017, Jan 18, 2017 (3 updates tracked since 2017).

About Alla Havens Fnp-bc NPPES

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

ALLA HAVENS FNP-BC (NPI 1639615347) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP133017) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2016).

NPPES Registry Identity

NPI1639615347
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALLA HAVENSCredential: FNP-BC
Location Address4900 BOAT CLUB RDFort Worth, TX 76135-1802
Mailing Address4900 Boat Club RdFort Worth, TX 76135-1802 · (682) 428-7711 · Fax (817) 238-6291
Fax(817) 238-6291
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2016
Enumeration DateJanuary 18, 2017
Last NPPES UpdateJune 23, 20263 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1639615347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP133017
4900 BOAT CLUB RD, Fort Worth, TX 76135

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

Alla Havens Fnp-bc 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 ID2466738497
PECOS Enrollment IDI20170405002583
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

3

Medicare enrollment records show Alla Havens reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
4900 BOAT CLUB RD
Fort Worth, TX 76135
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Cardiovascular Disease
1017 12TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
Medical Specialty
1900 MISTLETOE BLVD, SUITE 100
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 38 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.

Areas of Expertise CMS Part B claims 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services27 patients
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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76135 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.51
Promoting Interoperability100
Improvement Activities40
Cost48.65

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Cardiovascular Disease)
4900 BOAT CLUB RD
FORT WORTH, TX 76135
Nurse Practitioner
4900 BOAT CLUB RD
FORT WORTH, TX 76135
Internal Medicine (Cardiovascular Disease)
4900 BOAT CLUB RD
FORT WORTH, TX 76135
Physician Assistant
4900 BOAT CLUB RD
FORT WORTH, TX 76135

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 Alla Havens's NPI number?

The NPI number for Alla Havens is 1639615347. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Alla Havens located?

Alla Havens practices at 4900 Boat Club Rd, Fort Worth, TX 76135. The listed phone number is (682) 428-7711.

What is Alla Havens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alla Havens enrolled in Medicare?

Yes. Alla Havens 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 Alla Havens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alla Havens reassigns Medicare benefits to 3 organizations: Lone Star Cardiovascular Institute, P.L.L.C (Fort Worth, TX), Heart Center Of North Texas, PA (Fort Worth, TX) and Fort Worth Heart, P.A. (Fort Worth, 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 Alla Havens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alla Havens accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Alla Havens 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 Alla Havens was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.