Nancy Smith
OLIVER STREET 5.01(A) INC.


Address: 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528
Phone: 8179212838

Nancy Smith (NPI# 1326338542, PAC ID# 3072786458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1326338542
PAC ID by PECOS 3072786458
Professional Enrollment ID I20111031000389
Full Name Nancy Smith
Organization Legal Name OLIVER STREET 5.01(A) INC.
Address 2801 S Hulen St
400 Dermatology Associates
Fort Worth
TX 76109-1528
Phone Number 8179212838
Gender F
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0042464125
Number of Group Practice Members 135
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528 8179212838 OLIVER STREET 5.01(A) INC.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_137_overall Melanoma: Continuity of Care - Recall System 100%
MIPS_EC_224_overall Melanoma: Overutilization of Imaging Studies in Melanoma 100%
MIPS_EC_238_2+ Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 0%
MIPS_EC_238_overall Use of High-Risk Medications in the Elderly (100%: worst, 0% best) 0%
MIPS_EC_265_overall Biopsy Follow-Up 5%

Organization Information

Organization Legal Name OLIVER STREET 5.01(A) INC.
Physicians 142

Physicians with the same organization

Name Specialty Organization Address
Sam Awan Dermatology Oliver Street 5.01(a) Inc. 4701 Medical Ctr Dr, Suite 1b, Mckinney, TX 75069-1831
Trisha Jayantilal Patel Dermatology Oliver Street 5.01(a) Inc. 8210 Walnut Hill Lane Pob 1, Suite 810, Dallas, TX 75231
Calvin Lamont Williams Dermatology Oliver Street 5.01(a) Inc. 9808 N Beach St, 600 Us Dermatology Partners, Fort Worth, TX 76244-6184
Nancy Marchell Dermatology Oliver Street 5.01(a) Inc. 1605 Rock Prairie Rd, Suite 300, College Station, TX 77845-8358
Pamela N Murray Physician Assistant Oliver Street 5.01(a) Inc. 5805 Coit Rd, Suite 203, Plano, TX 75093-6990
Matthew Helm Dermatology Oliver Street 5.01(a) Inc. 815 Pecan Grove Rd E, Us Dermatology Partners, Sherman, TX 75090-1768
Matthew Thomas Hoffmann Dermatology Oliver Street 5.01(a) Inc. 901 Walnut Hill Dr, Dermatology Associates, Longview, TX 75605-5054
Young T Mcmahan Dermatology Oliver Street 5.01(a) Inc. 300 Richland W Circle, 2c Dermatology Associates, Waco, TX 76712-7935
Kelly Jackson Nurse Practitioner Oliver Street 5.01(a) Inc. 1720 S Beckham, 102 Dermatology Associates, Tyler, TX 75701-4464
Christine Lawson Physician Assistant Oliver Street 5.01(a) Inc. 5030 Tennyson Pkwy, Plano, TX 75024-3002

Office Location

Street Address 2801 S HULEN ST
400 DERMATOLOGY ASSOCIATES
City FORT WORTH
State TX
Zip 76109-1528

Physicians in the same location

Name Specialty Organization Address
James R Mccarty Dermatology Oliver Street 5.01(a) Inc. 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528
Baylen C Bastible Physician Assistant North Texas Lung and Sleep Clinic Pa 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530
Kathryn C Durham Dermatology Oliver Street 5.01(a) Inc. 2801 S Hulen St, 400 Dermatology Associates, Fort Worth, TX 76109-1528
Makeba S Thomas Nurse Practitioner North Texas Lung and Sleep Clinic Pa 2801 S Hulen St, Suite 600, Fort Worth, TX 76109-1530

Physicians in the same zip code

Name Specialty Organization Address
Anum M Hasan Physician Assistant Medspring of Texas Pa 3701 Vision Dr, Suite 101, Fort Worth, TX 76109-1184
Lacey A Mcdaniel Physician Assistant Mark Lindemann Do Pa 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811
Rose M Julian Nurse Practitioner Mark Lindemann Do Pa 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811
Mark A Lindemann Internal Medicine Mark Lindemann Do Pa 4545 Bellaire Dr S, Suite 9, Fort Worth, TX 76109-1811
Stephen Daniel Ake Family Medicine 4545 Bellaire Dr S, Suite 2, Fort Worth, TX 76109-1811
Derek L Page Chiropractic 2920 Oak Park Cir, Suite 101, Fort Worth, TX 76109-1853
John Leslie Bass Optometry Ron G Davidson Od PC Dba Eyes Nouveau 3000 S Hulen St, Suite 104, Fort Worth, TX 76109-1930
Marcus Aaron Whatley Optometry Ron G Davidson Od PC Dba Eyes Nouveau 3000 S Hulen St, Suite 104, Fort Worth, TX 76109-1930
Aaryn Mccomb Optometry Ron G Davidson Od PC Dba Eyes Nouveau 3000 S Hulen St, Suite 104, Fort Worth, TX 76109-1930
Jordan Wayne Yip Optometry Ron G Davidson Od PC Dba Eyes Nouveau 3000 S Hulen St, Suite 104, Fort Worth, TX 76109-1930
Find all physicians in zip 76109

Competitor

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City FORT WORTH
Zip Code 76109
Specialty NURSE PRACTITIONER
City + Specialty FORT WORTH + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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