MR. DUSTIN RYAN TOLAR AGACNP-BC NPI 1760148092

NPI Information

  • NPI: 1760148092
  • Provider Name: MR. DUSTIN RYAN TOLAR, AGACNP-BC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1902 WINDSOR PL STE 102
    FORT WORTH, TX
    ZIP 76110
  • Phone: (682) 207-1700

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NPI Details

MR. Dustin Ryan Tolar, AGACNP-BC is an acute care nurse practitioner in Fort Worth, TX with 4 years of experience. MR. Dustin Ryan Tolar, AGACNP-BC NPI is 1760148092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1902 WINDSOR PL STE 102
FORT WORTH, TX
ZIP 76110-866
Phone: (682) 207-1700
Fax: (682) 250-5246

The NPI 1760148092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)

The enumeration date for this NPI number is 11/10/2021 and was last updated on 5/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner1058628TEXASNo
2363LA2100XNurse PractitionerAcute Care1058628TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11760148092MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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