MRS. MAGDALENA MORA BLACKWELL N.P.
NPI 1710362769
Nurse Practitioner - Family in Fort Worth, TX
About Mrs. Magdalena Mora Blackwell N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MAGDALENA MORA BLACKWELL N.P. (NPI 1710362769) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP128575) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and maintains a secondary practice location in Hurst.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Magdalena Mora Blackwell N.p. 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.
Medicare Billing Reassignment
Medicare enrollment records show Magdalena Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jps Health Network
Acute Care Hospitals · Fort Worth, TXPhysician 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.
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.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Magdalena Blackwell's NPI number?
The NPI number for Magdalena Blackwell is 1710362769. It was assigned to this individual provider in the NPPES registry on July 20, 2015.
Where is Magdalena Blackwell located?
Magdalena Blackwell practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1100.
What is Magdalena Blackwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Magdalena Blackwell enrolled in Medicare?
Yes. Magdalena Blackwell 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 organization bills Medicare for Magdalena Blackwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Magdalena Blackwell reassigns Medicare benefits to Acclaim Physician Group, Inc (Fort Worth, TX). The 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 Magdalena Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Magdalena Blackwell accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Magdalena Blackwell 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 Magdalena Blackwell affiliated with any hospitals?
According to CMS data, Magdalena Blackwell is affiliated with Jps Health Network.
When was this NPI record last updated?
The NPPES record for Magdalena Blackwell was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Magdalena Mora Blackwell, N.P. · NPI 1710362769
Family physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since July 20, 2015.
## Identity
- **NPI:** 1710362769 (Entity type: Individual)
- **Enumerated:** July 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP128575 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1100 · **Fax:** (817) 927-3603
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 7, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1710362769) · Data from the CMS NPPES public registry.