Keesha Copeland, APRN, A-GNP-C in Fort Worth, TX

Keesha Copeland, APRN, A-GNP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Fort Worth, Texas. Her current practice location is 4150 International Plz Ste 600, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 513-6931.

Keesha Copeland is licensed to practice in Texas (license number 1107101) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255047049.

Contact Information

	Keesha Copeland, APRN, A-GNP-C
	4150 International Plz Ste 600, Fort Worth, TX 76109-4831
	(903) 513-6931
	Not Available

Map and Direction

Provider's Profile

Full Name	Keesha Copeland
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4150 International Plz Ste 600, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255047049
Provider Enumeration Date: 01/25/2023
Last Update Date: 04/02/2026

Medicare PECOS Information:

PECOS PAC ID: 1355876798
Enrollment ID: I20241122000863

Medical Identifiers

Medical identifiers for Keesha Copeland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255047049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1107101 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keesha Copeland allows following entities to bill medicare on her behalf.

Entity Name	Oak Street Health Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767

Entity Name	Revive Med Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669237798 PECOS PAC ID: 7618419920 Enrollment ID: O20240601000564

Entity Name	Revive Med Partners I Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881400323 PECOS PAC ID: 1658801832 Enrollment ID: O20250204002415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keesha Copeland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keesha Copeland, APRN, A-GNP-C Po Box 746079, Atlanta, GA 30374-6079 Ph: (312) 733-9730	Keesha Copeland, APRN, A-GNP-C 4150 International Plz Ste 600, Fort Worth, TX 76109-4831 Ph: (903) 513-6931

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

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Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805

Keesha Copeland, APRN, A-GNP-C - Medicare Nurse Practitioner in Fort Worth, TX