Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: August 09, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

What insurance does Alla Havens accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company 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 49 days 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.