TRUMED FAMILY CLINIC – Primary Care Nurse Practitioner, NPI 1235445123
Primary Care Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TRUMED FAMILY CLINIC
1132 COURTNEY LN
LEWISVILLE, TX 750772565
Phone: (972) 740-5830
Fax: (972) 434-2090
Type: Mailing
513 W JEFFERSON BLVD
SUITE 170
GRAND PRAIRIE, TX 750511639
Phone: (972) 642-5855
Fax: (972) 642-5853
Type: Location
PO BOX 294822
LEWISVILLE, TX 750294822
Phone: (214) 677-0208
Fax: (214) 677-0230
Type: Mailing
2801 OSLER DR STE 120
GRAND PRAIRIE, TX 750511059
Phone: (214) 677-0208
Fax: (214) 677-0230
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: 2011-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (676 days ago).
Enrollment records
1
Earliest due date
2024-07-31
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 |
|---|---|---|---|---|
| O20110208000567 | O | Clinic/Group Practice | TX | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 75077)
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