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Active NPI 1932948189 Individual Practitioner Female Practitioner

Kinzi Lea Self , APRN, AGACNP-BC

Nurse Practitioner • Fort Worth, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kinzi Self, APRN, AGACNP-BC is a certified Nurse Practitioner practicing in Fort Worth, TX. With approximately 2 years of clinical experience since completing medical education in 2024, Kinzi Self delivers high-quality medical care to the local community at 4525 HERITAGE TRACE PKWY STE 117.

Kinzi Self is affiliated with Mid Cities Neurology Associates, P.A. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4525 Heritage Trace Pkwy Ste 117

Fort Worth, TX 762448910

Telephone 8172676290
Fax 8172670950
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Worth, TX

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.6 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Fort Worth, TX (4894 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Self (2 Years) 2 Yrs
Fort Worth Specialty Average (8.6 Years) 8.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1194805

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Mid Cities Neurology Associates, P.a.

3030 Harwood Rd, Bedford, TX 760213703

Phone: 8172676290

Secondary Practice Locations

3030 Harwood Rd Ste 100

Bedford, TX 760213703

Phone: 8172676290

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Susan Imke , FNP

Nurse Practitioner

NPI 1043444961

Family Nurse Practitioner

Deborah Stapel , NP

Nurse Practitioner

NPI 1316910706

Nurse Practitioner

Dr. Syed Hussain , MD

Psychiatry & Neurology - Neurology

NPI 1346404803

Doctor of Medicine (M.D.)

Dr. Scott Hall , MD

Psychiatry & Neurology - Neurology

NPI 1396748075

Doctor of Medicine (M.D.)

Roberta Johnson , APRN

Nurse Practitioner - Family

NPI 1518848977

Advanced Practice Registered Nurse

Dr. Hassan Arif , MD

Psychiatry & Neurology - Neurology

NPI 1528391547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location December 05, 2025

Registered at 4525 HERITAGE TRACE PKWY STE 117, FORT WORTH, TX 762448910 (Tel: 8172676290)

📍
Updated Business Mailing Address December 05, 2025

Registered at 3030 HARWOOD RD STE 100, BEDFORD, TX 760213703 (Tel: 8172676290)

📍
Updated Practice Location July 31, 2025

Registered at 1305 AIRPORT FWY STE BEDFORD, BEDFORD, TX 760216605 (Tel: 8175531325)

👤
Provider Name / Credentials Updated April 11, 2025

Recorded as KINZI SELF, APRN, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2025

Nurse Practitioner (License #1194805 in TX)

NPI Profile Active May 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2024

Registered at 3913 SUNNYDALE DR, BENBROOK, TX 761167645 (Tel: 8178790715)

📍
Updated Business Mailing Address May 20, 2024

Registered at 3913 SUNNYDALE DR, BENBROOK, TX 761167645

👤
Provider Name / Credentials Updated May 20, 2024

Recorded as KINZI SELF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932948189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2024
Last Update: December 05, 2025
Sole Proprietor: No

Mailing Address

3030 Harwood Rd Ste 100

Bedford, TX 760213703

Phone: 8172676290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.