Regan Nicole Gronkowski, APRN, FNP-C in Fort Worth, TX

Regan Nicole Gronkowski, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 7260 Blue Mound Rd Ste 144, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 912-9100.

Regan Nicole Gronkowski is licensed to practice in Texas (license number 1088840) 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 1770219883.

Contact Information

	Regan Nicole Gronkowski, APRN, FNP-C
	7260 Blue Mound Rd Ste 144, Fort Worth, TX 76131-8830
	(817) 912-9100
	(817) 912-9110

Map and Direction

Provider's Profile

Full Name	Regan Nicole Gronkowski
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7260 Blue Mound Rd Ste 144, 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: 1770219883
Provider Enumeration Date: 07/29/2022
Last Update Date: 07/09/2025

Medicare PECOS Information:

PECOS PAC ID: 6608231956
Enrollment ID: I20230420002443

Medical Identifiers

Medical identifiers for Regan Nicole Gronkowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770219883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1088840 (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. Regan Nicole Gronkowski allows following entities to bill medicare on her behalf.

Entity Name	Healthtexas Provider Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187

Entity Name	Attigo Infusion Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891339644 PECOS PAC ID: 5597190645 Enrollment ID: O20200117000376

Entity Name	B L Wasson Do Pa Internal Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083332480 PECOS PAC ID: 9335512987 Enrollment ID: O20230323000318

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. Regan Nicole Gronkowski 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
Regan Nicole Gronkowski, APRN, FNP-C 7260 Blue Mound Rd Ste 144, Fort Worth, TX 76131-8830 Ph: (817) 912-9100	Regan Nicole Gronkowski, APRN, FNP-C 7260 Blue Mound Rd Ste 144, Fort Worth, TX 76131-8830 Ph: (817) 912-9100

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
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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

Regan Nicole Gronkowski, APRN, FNP-C - Medicare Nurse Practitioner in Fort Worth, TX