Methodist Mansfield Medical Center – General Acute Care Hospital, NPI 1689629941

Methodist Mansfield Medical Center is a healthcare provider. based in Dallas, Texas. specializing in General Acute Care Hospital. The NPI Number for Methodist Mansfield Medical Center is 1689629941

Main info

Organization
Name
Methodist Mansfield Medical Center
NPI
1689629941
Phone
(682) 242-2000
Address
PO BOX 911875
Authorized Official
CRAIG ALLEN BJERKE EXECUTIVE VP & CFO
Enumeration Date
24 May 2006
Last Update Date
12 June 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Methodist Mansfield Medical Center

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753911875

    Phone: (682) 242-2000

    Type: Mailing

  • Methodist Mansfield Medical Center, 2700, East Broad Street, Walnut Landing, Mansfield, Tarrant County, Texas, 76063, United States

    MANSFIELD, TX 760635899

    Phone: (682) 622-2000

    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: 2006-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-07-31 (313 days ago).

Enrollment records

1

Earliest due date

2025-07-31

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
O20061018000050OHospitalTX2025-07-31

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.

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 75391)

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Reviews

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Frequently asked questions

Where can patients find Methodist Mansfield Medical Center's NPI?
You can confirm Methodist Mansfield Medical Center with NPI 1689629941; it appears in the national provider directory.
Is Methodist Mansfield Medical Center active in the national directory?
Methodist Mansfield Medical Center's public NPI profile is in an active state.
What kind of provider is Methodist Mansfield Medical Center?
The page reflects General Acute Care Hospital for Methodist Mansfield Medical Center. Clinical services aligned with this taxonomy classification.
What location metadata exists for Methodist Mansfield Medical Center?
The page summarizes Dallas, Texas for Methodist Mansfield Medical Center; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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