Keely Nicole Grant-mirle, DNP, APRN, FNP-BC in Mansfield, TX

Keely Nicole Grant-mirle, DNP, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mansfield, Texas. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acclaim Physician Group Inc and her current practice location is 733 Highway 287 N Ste 405, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 936-1311.

Keely Nicole Grant-mirle is licensed to practice in Texas (license number 626608) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093117848.

Contact Information

	Keely Nicole Grant-mirle, DNP, APRN, FNP-BC
	733 Highway 287 N Ste 405, Mansfield, TX 76063-3866
	(682) 936-1311
	(682) 316-9950

Map and Direction

Provider's Profile

Full Name	Keely Nicole Grant-mirle
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	733 Highway 287 N Ste 405, Mansfield, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keely Nicole Grant-mirle graduated from nursing school in 2014

NPI Data:

NPI Number: 1093117848
Provider Enumeration Date: 09/24/2014
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 0244555290
Enrollment ID: I20150213001406

Medical Identifiers

Medical identifiers for Keely Nicole Grant-mirle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093117848	NPI	-	NPPES
345791301	Medicaid	TX
8726NP	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP126492 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	626608 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jps Health Network	Fort worth, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acclaim Physician Group Inc	4587963582	442

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keely Nicole Grant-mirle allows following entities to bill medicare on her behalf.

Entity Name	Frederic J Simmons
Entity Type	Practitioner - General Practice
Entity Identifiers	NPI Number: 1952318750 PECOS PAC ID: 8921139494 Enrollment ID: I20100628000143

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keely Nicole Grant-mirle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keely Nicole Grant-mirle, DNP, APRN, FNP-BC 733 Highway 287 N Ste 405, Mansfield, TX 76063-3866 Ph: (682) 936-1311	Keely Nicole Grant-mirle, DNP, APRN, FNP-BC 733 Highway 287 N Ste 405, Mansfield, TX 76063-3866 Ph: (682) 936-1311

Reviews and Comments

Nurse Practitioner Nurses in Mansfield, TX

Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267

Keely Nicole Grant-mirle, DNP, APRN, FNP-BC - Medicare Nurse Practitioner in Mansfield, TX