ELIZABETH NICHOLE BELLOWS (FNP-C) – Family Nurse Practitioner, NPI 1396387866

ELIZABETH NICHOLE BELLOWS (FNP-C) is a healthcare provider. based in Justin, Texas. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. AP143314 (TX). The NPI Number for ELIZABETH NICHOLE BELLOWS (FNP-C) is 1396387866

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH NICHOLE BELLOWS (FNP-C)
NPI
1396387866
Phone
(817) 739-1407
Address
14500 WILLOW BEND DR W
Enumeration Date
16 October 2019
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9726612273
Graduation Year
2019 (7 years ago)
PAC ID
0345675948
Group Practice PAC ID
5597190645
Professional Enrollment ID
I20200108001057

Contacts

Secure Messaging
emathews192891@CookChildrens.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for ELIZABETH NICHOLE BELLOWS (FNP-C)

  • 14500 WILLOW BEND DR W

    JUSTIN, TX 762478556

    Phone: (817) 739-1407

    Type: Mailing

  • 100, South FM 51, Decatur, Wise County, Texas, 76234, United States

    DECATUR, TX 762343864

    Phone: (940) 626-8810

    Fax: (940) 626-8811

    Type: Location

  • 2301 S Fm 51 Ste 100

    Decatur, TX 762343864

    Phone: (940) 626-8810

    Fax: (940) 626-8811

    Type: Location

  • 133 N Fm 730 Unit 105

    Boyd, TX 760233072

    Phone: (940) 433-2151

    Fax: (940) 433-2366

    Type: Location

  • 2000 S Fm 51

    Decatur, TX 762343702

    Phone: (940) 626-3888

    Fax: (940) 626-3881

    Type: Location

  • 2202 US Highway 380 Ste 112

    Bridgeport, TX 764262177

    Phone: (940) 683-0347

    Fax: (940) 683-3804

    Type: Location

  • PO BOX 733784

    DALLAS, TX 753733784

    Phone: (682) 885-6483

    Fax: (682) 885-3113

    Type: Mailing

  • 4405 RIVER OAKS BLVD

    FORT WORTH, TX 761142326

    Phone: (817) 624-1770

    Fax: (817) 625-1287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($27).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2020-01-08

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
I20200108001057INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76247)

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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: 5597190645View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ELIZABETH NICHOLE BELLOWS (FNP-C) in U.S. healthcare records?
The official identifier for ELIZABETH NICHOLE BELLOWS (FNP-C) is NPI 1396387866.
Active or inactive — what applies to ELIZABETH NICHOLE BELLOWS (FNP-C)?
You should see ELIZABETH NICHOLE BELLOWS (FNP-C) as active in CMS-hosted NPPES data.
What area of care is associated with ELIZABETH NICHOLE BELLOWS (FNP-C)?
ELIZABETH NICHOLE BELLOWS (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ELIZABETH NICHOLE BELLOWS (FNP-C) located near Justin?
ELIZABETH NICHOLE BELLOWS (FNP-C) currently maps to Justin, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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