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UROLOGY CLINICS OF NORTH TEXAS, PLLC
NPI 1780971549
Specialist in Grapevine, TX

Active since June 30, 2011CLIA 45D2137664 · Microscopy
1631 LANCASTER DR STE 350, GRAPEVINE, TX 76051(214) 915-8502(682) 223-5006 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2025, Jan 31, 2017, Jan 17, 2017 and 1 more (4 updates tracked since 2017).

About Urology Clinics Of North Texas, Pllc NPPES

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

UROLOGY CLINICS OF NORTH TEXAS, PLLC (NPI 1780971549) is a healthcare organization registered as a specialist in Grapevine, Texas and active in the NPI registry since June 2011. The organization holds a CLIA Microscopy certificate valid through October 1, 2027, maintains a secondary practice location in Fort Worth, and lists Jerri D Wilson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780971549
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUROLOGY CLINICS OF NORTH TEXAS, PLLC
Location Address1631 LANCASTER DR STE 350Grapevine, TX 76051-3599
Mailing Address1650 Republic Pkwy Ste 130Mesquite, TX 75150-6920 · (214) 692-8262 · Fax (214) 696-4190
Phone(214) 915-8502
Fax(682) 223-5006
Organization SubpartNo
Authorized OfficialJerri D WilsonCeo · (214) 691-1902
Enumeration DateJune 30, 2011
Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1780971549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1631 LANCASTER DR STE 350, Grapevine, TX 76051
Open in Google Maps ↗

Secondary Practice Location 1

Location 110932 N Riverside Dr Ste 100Fort Worth, TX 76244-7137 · Phone (214) 915-8506 · Fax (817) 379-4517

Other Identifiers 1

Medicaid1780971549TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, WellPoint.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)

Urology Clinics Of North Texas, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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 IDO20040526000711Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

72

Medicare enrollment records show 72 clinicians reassign Medicare billing to Urology Clinics Of North Texas, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Urology58
Nurse Practitioner7
Radiation Oncology3
Hematology/Oncology2
Pathology2

Nearest to this location (20)

See all 72
Stephanie Hewitt, FNP
Nurse Practitioner
NPI 1588106736
1631 LANCASTER DR STE 350
Grapevine, TX 76051
(214) 915-8502
✔ PECOS✔ Accepts MedicareSame address
Patrick Frey, MD
Urology
NPI 1932195328
1625 LANCASTER DR
Grapevine, TX 76051
(214) 915-8502
✔ PECOS✔ Accepts MedicareSame address
Scott Davidson, M.D.
Urology
NPI 1568495398
1600 W COLLEGE ST SUITE 140
Grapevine, TX 76051
(214) 826-6021
✔ PECOS✔ Accepts Medicare0.2 mi
Bryan Bruner, MD
Urology
NPI 1043439920
1600 W COLLEGE ST SUITE 140
Grapevine, TX 76051
(214) 826-6021
✔ PECOS✔ Accepts Medicare0.2 mi
Kelli Fletcher, NP
Nurse Practitioner
NPI 1811483407
1600 W COLLEGE ST STE 140
Grapevine, TX 76051
(214) 692-8262
✔ PECOS✔ Accepts Medicare0.3 mi
Jessie Chen, M.D.
Urology
NPI 1245684760
4370 MEDICAL ARTS DR STE 270
Flower Mound, TX 75028
(972) 394-4500
✔ PECOS✔ Accepts Medicare7.9 mi
John Pickard, MD
Urology
NPI 1003805789
4370 MEDICAL ARTS DR SUITE 105
Flower Mound, TX 75028
(214) 691-1902
✔ PECOS✔ Accepts Medicare7.9 mi
Marie-Blanche Tchetgen, MD
Urology
NPI 1831185941
4370 MEDICAL ARTS DR STE 340
Flower Mound, TX 75028
(972) 394-4500
✔ PECOS✔ Accepts Medicare7.9 mi
John Fairbanks, MD
Urology
NPI 1376645283
4370 MEDICAL ARTS DR SUITE 105
Flower Mound, TX 75028
(214) 394-4500
✔ PECOS✔ Accepts Medicare7.9 mi
William Smith, MD
Urology
NPI 1629230552
2021 N MACARTHUR BLVD STE 325
Irving, TX 75061
(972) 253-4210
✔ PECOS✔ Accepts Medicare10 mi
George Bailey, MD
Urology
NPI 1538422779
4312 HERITAGE TRACE PKWY STE 700
Fort Worth, TX 76244
(214) 915-8506
✔ PECOS✔ Accepts Medicare12 mi
Ali Shirvani, MD
Urology
NPI 1528054046
4325 N JOSEY LN STE 206
Carrollton, TX 75010
(214) 915-8515
✔ PECOS✔ Accepts Medicare14 mi
Sameer Singh, M.D.
Urology
NPI 1831357227
4325 N JOSEY LN STE 206
Carrollton, TX 75010
(214) 915-8515
✔ PECOS✔ Accepts Medicare14 mi
Chad Amosson, MD
Radiation Oncology
NPI 1790786879
6957 W PLANO PKWY STE 1300
Plano, TX 75093
(972) 820-1400
✔ PECOS✔ Accepts Medicare16 mi
Lauren Beeder, M.D.
Urology
NPI 1851952840
5323 HARRY HINES BLVD
Dallas, TX 75390
(214) 648-0860
✔ PECOS✔ Accepts Medicare17 mi
Meredith Lightfoot, M.D.
Urology
NPI 1083661052
6124 W PARKER RD STE 434
Plano, TX 75093
(214) 691-1902
✔ PECOS✔ Accepts Medicare17 mi
Lisa Zambrano, RN, ANP-C
Nurse Practitioner
NPI 1073559886
10501 N. CENTRAL EXPWY SUITE 200
Dallas, TX 75231
(214) 360-1535
✔ PECOS✔ Accepts Medicare19 mi
Timothy Nichols, MD
Radiation Oncology
NPI 1093752073
12606 GREENVILLE AVE SUITE 160
Dallas, TX 75243
(469) 364-7880
✔ PECOS✔ Accepts Medicare20 mi
Wilson Hernandez, M.D.
Radiation Oncology
NPI 1023007739
12606 GREENVILLE AVE SUITE 160
Dallas, TX 75243
(214) 691-9377
✔ PECOS✔ Accepts Medicare20 mi
Michaela Gorman, NP
Nurse Practitioner
NPI 1184582421
3417 GASTON AVE STE 830
Dallas, TX 75246
(402) 253-7068
✔ PECOS✔ Accepts Medicare21 mi
See all 72 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D2137664

Urology Clinics Of North Texas · Fort Worth, TX
Active · expires Oct 1, 2027
CLIA Number45D2137664
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorBryan C. Bruner
Laboratory Phone(214) 580-1481
Laboratory LocationUrology Clinics Of North Texas10932 N Riverside Drive Suite 100, Fort Worth, TX 76244
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Urology Clinics Of North Texas, PLLC's NPI number?

The NPI number for Urology Clinics Of North Texas, PLLC is 1780971549. It was assigned to this organization in the NPPES registry on June 30, 2011.

Where is Urology Clinics Of North Texas, PLLC located?

Urology Clinics Of North Texas, PLLC is located at 1631 Lancaster Dr Ste 350, Grapevine, TX 76051. The listed phone number is (214) 915-8502.

What is Urology Clinics Of North Texas, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Urology Clinics Of North Texas, PLLC enrolled in Medicare?

Yes. Urology Clinics Of North Texas, PLLC is registered in the Medicare PECOS enrollment system.

When is Urology Clinics Of North Texas, PLLC'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 March 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 Urology Clinics Of North Texas, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 72 clinicians in 5 Medicare specialties reassign their Medicare billing to Urology Clinics Of North Texas, PLLC. 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 Urology (58), Nurse Practitioner (7) and Radiation Oncology (3). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urology Clinics Of North Texas, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2137664) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Urology Clinics Of North Texas, PLLC accept?

Health plans from Molina Healthcare and WellPoint list Urology Clinics Of North Texas, PLLC 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 Urology Clinics Of North Texas, PLLC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.