CLINICAL NEUROSCIENCE PA
NPI 1760459671
Psychiatry & Neurology - Neurology in Fort Worth, TX

Active since March 01, 2006
1307 8TH AVE STE 608, FORT WORTH, TX 76104(817) 921-4191(817) 926-6048 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 15, 2023, Apr 6, 2023, Mar 23, 2023 and 1 more (4 updates tracked since 2023).

About Clinical Neuroscience Pa NPPES

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

CLINICAL NEUROSCIENCE PA (NPI 1760459671) is a healthcare organization registered as a neurology in Fort Worth, Texas and active in the NPI registry since March 2006. The organization lists Teresa R Hernandez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760459671
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameCLINICAL NEUROSCIENCE PA
Location Address1307 8TH AVE STE 608Fort Worth, TX 76104-4140
Mailing Address1307 8th Ave Ste 608Fort Worth, TX 76104-4109 · (817) 921-4191 · Fax (817) 926-6048
Fax(817) 926-6048
Organization SubpartNo
Authorized OfficialTeresa R HernandezAdministrator · (817) 921-4191
Enumeration DateMarch 1, 2006
Last NPPES UpdateMay 15, 20234 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1760459671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1307 8TH AVE STE 608, Fort Worth, TX 76104

Other Identifiers 2

Medicaid112880305TX
Medicaid112880306TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinical Neuroscience Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20050909000770Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Clinical Neuroscience PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Neurology
NPI 1326039215
1307 8TH AVE #408
Fort Worth, TX 76104
(817) 921-4191
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1558449603
1307 8TH AVE STE 608
Fort Worth, TX 76104
(817) 921-4191
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1922510205
1307 8TH AVE SUITE 608
Fort Worth, TX 76104
(817) 921-4191
✔ PECOS✔ Accepts MedicareSame address

Source: 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 Clinical Neuroscience PA's NPI number?

The NPI number for Clinical Neuroscience PA is 1760459671. It was assigned to this organization in the NPPES registry on March 1, 2006.

Where is Clinical Neuroscience PA located?

Clinical Neuroscience PA is located at 1307 8th Ave Ste 608, Fort Worth, TX 76104. The listed phone number is (817) 921-4191.

What is Clinical Neuroscience PA's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Clinical Neuroscience PA enrolled in Medicare?

Yes. Clinical Neuroscience PA is registered in the Medicare PECOS enrollment system.

When is Clinical Neuroscience PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clinical Neuroscience PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Clinical Neuroscience PA, in Neurology and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Clinical Neuroscience PA accept?

Health plans from WellPoint list Clinical Neuroscience PA 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 Clinical Neuroscience PA was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.