MR. CRAIG EUGENE PANNELL (APRN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1013925460

MR. CRAIG EUGENE PANNELL (APRN, PMHNP) is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP. They hold a License No. 661244 (TX). The NPI Number for MR. CRAIG EUGENE PANNELL (APRN, PMHNP) is 1013925460

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. CRAIG EUGENE PANNELL (APRN, PMHNP)
NPI
1013925460
Phone
(817) 569-4555
Address
300 Pennsylvania Ave
Enumeration Date
3 August 2006
Last Update Date
24 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175694300
Graduation Year
2001 (25 years ago)
PAC ID
7618947508
Group Practice PAC ID
6406755693
Professional Enrollment ID
I20040728000988
Address ID
TX761077277FO3840XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MR. CRAIG EUGENE PANNELL (APRN, PMHNP)

  • 300 Pennsylvania Ave

    Fort Worth, TX 761043304

    Phone: (817) 569-4555

    Fax: (817) 569-4596

    Type: Location

  • 3840, Hulen Street, Fort Worth, Tarrant County, Texas, 76107, United States

    FORT WORTH, TX 761077277

    Phone: (817) 335-3022

    Type: Location

  • Fort Worth Jack D. Watson Post Office, 4600, Mark IV Parkway, Fort Worth, Tarrant County, Texas, 76161, United States

    FORT WORTH, TX 761132603

    Phone: (817) 569-4300

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 100 Open Payments records for all available years, with a total value of $1,690.

Total Amount is formed as General ($1,690) + Research ($0) + Ownership ($0) = $1,690.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Indivior Inc. ($221).

Total Amount

$1,690

General + Research + Ownership

Payments

100

Total payment records

General Amount

$1,690

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040728000988INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7534$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406755693View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Is there an official ID for MR. CRAIG EUGENE PANNELL (APRN, PMHNP) in U.S. healthcare records?
The official identifier for MR. CRAIG EUGENE PANNELL (APRN, PMHNP) is NPI 1013925460.
Would MR. CRAIG EUGENE PANNELL (APRN, PMHNP) appear as active to a payer?
You can treat MR. CRAIG EUGENE PANNELL (APRN, PMHNP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MR. CRAIG EUGENE PANNELL (APRN, PMHNP)?
MR. CRAIG EUGENE PANNELL (APRN, PMHNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is MR. CRAIG EUGENE PANNELL (APRN, PMHNP) registered?
Use Fort Worth, Texas as the headline location for MR. CRAIG EUGENE PANNELL (APRN, PMHNP) here.
When was this NPI issued?
Enumeration for MR. CRAIG EUGENE PANNELL (APRN, PMHNP) is noted as August 3, 2006 where the registry provides it.

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