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KATHERINE JOELLA KOONCE FNP-C
NPI 1760012256
Nurse Practitioner - Family in Fort Worth, TX

Active since January 23, 2020PECOS EnrolledAccepts Medicare Assignment
3455 LOCKE AVE, FORT WORTH, TX 76107(817) 336-1189 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 1, 2022, Jan 23, 2020 (2 updates tracked since 2020).

About Katherine Joella Koonce Fnp-c NPPES

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

KATHERINE JOELLA KOONCE FNP-C (NPI 1760012256) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP142040) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760012256
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE JOELLA KOONCECredential: FNP-C
Location Address3455 LOCKE AVEFort Worth, TX 76107-5745
Mailing Address3908 Piedmont RdFort Worth, TX 76116-7914 · (817) 908-2812
Phone(817) 336-1189
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 23, 2020
Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
✔ NPI 1760012256 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 · AP142040
3455 LOCKE AVE, Fort Worth, TX 76107
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Katherine Joella Koonce Fnp-c 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 ID1254767239
PECOS Enrollment IDI20200211001996
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 Reassignment

Medicare enrollment records show Katherine Koonce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Physicians Group
0.6 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300

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 9

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.
261 services137 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
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.
79 services65 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services39 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services38 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Medical City Weatherford

Acute Care Hospitals · Weatherford, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450203
Location713 E Anderson StWeatherford, TX 76086 · Parker County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims25 services$5.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$66.99 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$184.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

PARK HILL SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
3455 LOCKE AVE, STE 100
FORT WORTH, TX 76107
Tarrant County (817) 585-1900
MONTY V. TRIMBLE , MD, P.A
Specialist
3455 LOCKE AVE, SUITE 210
FORT WORTH, TX 76107
Tarrant County (817) 377-5223
MADELEINE MONET YOUNG CRNA
Nurse Anesthetist, Certified Registered
3455 LOCKE AVE
FORT WORTH, TX 76107
Tarrant County (804) 519-5675
DR. PAUL ANDREW FABELA M.D.
Internal Medicine
3455 LOCKE AVE
FORT WORTH, TX 76107
Tarrant County (817) 336-1189
MONTY V TRIMBLE M.D
Specialist
3455 LOCKE AVE, SUITE 210
FORT WORTH, TX 76107
Tarrant County (817) 529-6200
CHRISTY B STEWART RN,MSN,FNP-BC
Nurse Practitioner (Family)
3455 LOCKE AVE, SUITE 210
FORT WORTH, TX 76107
Tarrant County (817) 529-6200

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 Katherine Koonce's NPI number?

The NPI number for Katherine Koonce is 1760012256. It was assigned to this individual provider in the NPPES registry on January 23, 2020.

Where is Katherine Koonce located?

Katherine Koonce practices at 3455 Locke Ave, Fort Worth, TX 76107. The listed phone number is (817) 336-1189.

What is Katherine Koonce's specialty?

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

Is Katherine Koonce enrolled in Medicare?

Yes. Katherine Koonce 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 Katherine Koonce's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Koonce reassigns Medicare benefits to Texas Health Physicians Group (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 Katherine Koonce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Koonce 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 1 other insurer list Katherine Koonce 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 Katherine Koonce affiliated with any hospitals?

According to CMS data, Katherine Koonce is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Medical City Weatherford and Texas Health Harris Methodist Hospital Southwest F.

When was this NPI record last updated?

The NPPES record for Katherine Koonce was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.