Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kinzi Lea Self, APRN, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1932948189

Kinzi Lea Self, APRN, AGACNP-BC is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2024, 2 years ago. Practices with Mid Cities Neurology Associates, PA, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4525 Heritage Trace Pkwy Ste 117
Fort Worth, TX 76244-8910
Phone: (817) 267-6290
Fax: (817) 267-0950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3030 Harwood Rd Ste 100, Bedford, TX 76021-3703 — (817) 267-6290

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1194805 (TX)

Record details

NPI number1932948189
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 20, 2024
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mid Cities Neurology Associates, P.A. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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