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KINZI LEA SELF APRN, AGACNP-BC
NPI 1932948189
Nurse Practitioner in Fort Worth, TX

Active since May 20, 2024PECOS EnrolledAccepts Medicare Assignment
4525 HERITAGE TRACE PKWY STE 117, FORT WORTH, TX 76244(817) 267-6290(817) 267-0950 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Apr 11, 2025 (2 updates tracked since 2025).

About Kinzi Lea Self Aprn, Agacnp-bc NPPES

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

KINZI LEA SELF APRN, AGACNP-BC (NPI 1932948189) is an individual nurse practitioner in Fort Worth, Texas, licensed in Texas (1194805) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bedford, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1932948189
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKINZI LEA SELFCredential: APRN, AGACNP-BC
Location Address4525 HERITAGE TRACE PKWY STE 117Fort Worth, TX 76244-8910
Mailing Address3030 Harwood Rd Ste 100Bedford, TX 76021-3703 · (817) 267-6290 · Fax (817) 267-0950
Phone(817) 267-6290
Fax(817) 267-0950
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 20, 2024
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1932948189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1194805
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4525 HERITAGE TRACE PKWY STE 117, Fort Worth, TX 76244
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Secondary Practice Location 1

Location 13030 Harwood Rd Ste 100Bedford, TX 76021-3703 · Phone (817) 267-6290 · Fax (817) 267-0950

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kinzi Lea Self Aprn, Agacnp-bc 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 ID6002329042
PECOS Enrollment IDI20250702000583
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76244 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.

Other Providers at the Same Location NPPES 5

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

DEBORAH A. STAPEL N.P.
Nurse Practitioner
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
ROBERTA JOHNSON APRN
Nurse Practitioner (Family)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
HASSAN ARIF M.D.
Psychiatry & Neurology (Neurology)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
NIRAV SHAH M.D., M.P.H
Psychiatry & Neurology (Neurology)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290
SHARIQUE ASLAM ANSARI M.D., MPH
Psychiatry & Neurology (Neurology)
4525 HERITAGE TRACE PKWY STE 117
FORT WORTH, TX 76244
Tarrant County (817) 267-6290

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 Kinzi Self's NPI number?

The NPI number for Kinzi Self is 1932948189. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Kinzi Self located?

Kinzi Self practices at 4525 Heritage Trace Pkwy Ste 117, Fort Worth, TX 76244. The listed phone number is (817) 267-6290.

What is Kinzi Self's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kinzi Self enrolled in Medicare?

Yes. Kinzi Self 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.

What insurance does Kinzi Self accept?

Health plans from Molina Healthcare and Oscar Insurance Company list Kinzi Self 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 Kinzi Self was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.