| Keely Nicole Grant-mirle, DNP, APRN, FNP-BC | |
|
733 Highway 287 N Ste 405, Mansfield, TX 76063-3866 | |
| (682) 936-1311 | |
| (682) 316-9950 |
| Full Name | Keely Nicole Grant-mirle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 733 Highway 287 N Ste 405, Mansfield, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093117848 | NPI | - | NPPES |
| 345791301 | Medicaid | TX | |
| 8726NP | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP126492 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 626608 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jps Health Network | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acclaim Physician Group Inc | 4587963582 | 439 |
| Entity Name | Frederic J Simmons |
|---|---|
| Entity Type | Practitioner - General Practice |
| Entity Identifiers | NPI Number: 1952318750 PECOS PAC ID: 8921139494 Enrollment ID: I20100628000143 |
| Entity Name | Acclaim Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Keely Nicole Grant-mirle, DNP, APRN, FNP-BC 733 Highway 287 N Ste 405, Mansfield, TX 76063-3866 Ph: (682) 936-1311 | Keely Nicole Grant-mirle, DNP, APRN, FNP-BC 733 Highway 287 N Ste 405, Mansfield, TX 76063-3866 Ph: (682) 936-1311 |
Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798 | |
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319 | |
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292 | |
Kelsey Hale, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Cir S, Mansfield, TX 76063 Phone: 682-341-3910 | |
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511 | |
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659 | |
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267 |