Pine Grove Nursing Center – Skilled Nursing Facility, NPI 1326032186

Pine Grove Nursing Center is a healthcare provider. based in Lewisville, Texas. specializing in Skilled Nursing Facility. The organization holds a License No. 115789 (TX). The NPI Number for Pine Grove Nursing Center is 1326032186

Main info

Organization
Name
Pine Grove Nursing Center
NPI
1326032186
Phone
(972) 899-4401
Address
1500 WATERS RIDGE DR
Authorized Official
C BRUCE STRATTON BOARD PRESIDENT
Enumeration Date
8 September 2005
Last Update Date
5 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Pine Grove Nursing Center

  • 1500, Waters Ridge Drive, Lewisville, Denton County, Texas, 75057, United States

    SUITE 200

    LEWISVILLE, TX 750576011

    Phone: (972) 899-4401

    Fax: (972) 899-4460

    Type: Mailing

  • Haley Drive, Center, Shelby County, Texas, 75935, United States

    CENTER, TX 759359798

    Phone: (936) 598-6286

    Fax: (936) 598-6464

    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: 2017-05-02

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
O20170502002162OSkilled Nursing FacilityTXTBD

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 75057)

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Reviews

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Frequently asked questions

What is the standard ID for Pine Grove Nursing Center in the U.S.?
In the U.S., Pine Grove Nursing Center is identified by NPI 1326032186.
Should I treat Pine Grove Nursing Center as an active provider?
Patients and plans typically see Pine Grove Nursing Center as active in the national extract.
What type of care does Pine Grove Nursing Center provide?
Pine Grove Nursing Center's profile centers on Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What city is tied to Pine Grove Nursing Center?
The directory associates Pine Grove Nursing Center with Lewisville, Texas. Check all listed addresses for suites or satellite offices.
Who maintains Pine Grove Nursing Center's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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