LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
NPI 1689443467
Emergency Medicine in Granbury, TX
About Lake Granbury Hospital-based Professional Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES (NPI 1689443467) is a healthcare organization registered as an emergency medicine in Granbury, Texas and active in the NPI registry since December 2023. The organization maintains 2 additional practice locations and lists Wendi Keeton, Sr. Director, Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Granbury Hospital-based Professional Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
123Medicare enrollment records show 123 clinicians reassign Medicare billing to Lake Granbury Hospital-Based Professional Services, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 123Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Lake Granbury Hospital-Based Professional Services's NPI number?
The NPI number for Lake Granbury Hospital-Based Professional Services is 1689443467. It was assigned to this organization in the NPPES registry on December 21, 2023.
Where is Lake Granbury Hospital-Based Professional Services located?
Lake Granbury Hospital-Based Professional Services is located at 1310 Paluxy Rd, Granbury, TX 76048. The listed phone number is (817) 573-2273.
What is Lake Granbury Hospital-Based Professional Services's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Lake Granbury Hospital-Based Professional Services enrolled in Medicare?
Yes. Lake Granbury Hospital-Based Professional Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Granbury Hospital-Based Professional Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 123 clinicians in 7 Medicare specialties reassign their Medicare billing to Lake Granbury Hospital-Based Professional Services. A 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 the clinician's services. The largest specialties are Emergency Medicine (39), Certified Registered Nurse Anesthetist (CRNA) (30) and Family Practice (24). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lake Granbury Hospital-Based Professional Services was last updated on January 20, 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.
# Lake Granbury Hospital-Based Professional Services · NPI 1689443467
Emergency Medicine organization in Granbury, Texas. Organization record, active in the CMS NPPES registry since December 21, 2023.
## Identity
- **NPI:** 1689443467 (Entity type: Organization)
- **Enumerated:** December 21, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Wendi Keeton, SR. DIRECTOR, OPERATIONS
## Practice location
- **Address:** 1310 PALUXY RD, Granbury, TX 76048-5655
- **Phone:** (817) 573-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 123 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (39), Certified Registered Nurse Anesthetist (CRNA) (30), Family Practice (24); [full list](https://npiprofile.com/npi/1689443467/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689443467) · Data from the CMS NPPES public registry.