Taylor Fancher, APRN, PMHNP in Southlake, TX - Medicare Nurse Practitioner

Taylor Fancher, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southlake, Texas. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mindful Therapy Group Pc and his current practice location is 1207 S White Chapel Blvd Ste 260, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 267-9405.

Taylor Fancher is licensed to practice in Washington (license number AP61143112) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962966085.

Contact Information

	Taylor Fancher, APRN, PMHNP
	1207 S White Chapel Blvd Ste 260, Southlake, TX 76092-9344
	(214) 267-9405
	(214) 472-2872

Map and Direction

Provider's Profile

Full Name	Taylor Fancher
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	1207 S White Chapel Blvd Ste 260, Southlake, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Taylor Fancher graduated from nursing school in 2018

NPI Data:

NPI Number: 1962966085
Provider Enumeration Date: 01/23/2019
Last Update Date: 04/22/2026

Medicare PECOS Information:

PECOS PAC ID: 6103253695
Enrollment ID: I20210330002123

Medical Identifiers

Medical identifiers for Taylor Fancher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962966085	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP141643 (Texas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP61143112 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mindful Therapy Group Pc	4981872561	630

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. Taylor Fancher allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. Taylor Fancher 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
Taylor Fancher, APRN, PMHNP 100 N Howard St Ste R, Spokane, WA 99201-0508 Ph: (214) 267-9405	Taylor Fancher, APRN, PMHNP 1207 S White Chapel Blvd Ste 260, Southlake, TX 76092-9344 Ph: (214) 267-9405

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Viktoria Zatkalik, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 River Oaks Dr Ste 150, Southlake, TX 76092 Phone: 817-379-9922 Fax: 817-379-9998
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104

Taylor Fancher, APRN, PMHNP - Medicare Nurse Practitioner in Southlake, TX