DARYL KEITH MOTSENBOCKER (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1003261512
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for DARYL KEITH MOTSENBOCKER (AG-ACNP)
1113, Pin Oak Drive, Denton, Denton County, Texas, 76209, United States
DENTON, TX 762094624
Phone: (940) 765-8987
Type: Mailing
221, West Colorado Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75208, United States
PAVILLION 2, SUITE 929
DALLAS, TX 752082363
Phone: (214) 960-5681
Fax: (214) 947-2727
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161004000301 | I | Nurse Practitioner | TX | TBD |
| I20251107002216 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Neurology, Critical Care (Intensivists) | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | TX | |
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists) | TX |
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