Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miranda Rae Marshall, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1174283295

Miranda Rae Marshall, AGACNP-BC is a Nurse Practitioner in Fort Worth, Texas. Qualified in 2021, 5 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone: (817) 250-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1054425 (TX)

Record details

NPI number1174283295
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedDecember 30, 2021
Last updated in NPPESDecember 30, 2021
Certification dateDecember 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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