Individual provider Active NPI

Erick K Kebenei, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1003384439
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139632 Issued in TX
Practice address
650 N Sam Houston Pkwy E Ste 307
Houston, TX 77060-5906
Phone
(281) 616-6769
Fax
(832) 201-0407
NPI assigned
Nov 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139632 TX Primary

Addresses

Primary practice location

650 N Sam Houston Pkwy E Ste 307
Houston, TX 77060-5906

Mailing address

19731 Shallow Shaft LN
Richmond, TX 77407-4101
Phone (913) 526-0564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222000010 TX Practitioner - Nurse Practitioner 0042559866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corner Clinic PLLCGroup PAC ID 7618408329, 2 clinicians
Wound and Lymphology of Texas PAGroup PAC ID 9931354917, 4 clinicians

Practice addresses (Care Compare)

5373 W Alabama St
Suite 204
Houston, TX 77056-5923
Phone (713) 338-1231

6441 Main St
Houston, TX 77030-1502
Phone (713) 790-0500

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Clinic PLLC CurrentSince Jul 1, 2025 Accepting new patients
Wound and Lymphology of Texas PA CurrentSince Jan 1, 2019 Accepting new patients
Post Acute Home Care PLLC Family PastSince May 21, 2018 Accepting new patients
Benk LLC PastSince Feb 12, 2023 Accepting new patients

Locations

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

3139 W Holcombe Blvd
Houston, TX 77025
Phone (281) 276-7574

7205 Almeda Rd
#301189
Houston, TX 77054

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1003384439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19731 SHALLOW SHAFT LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074101",
            "telephone_number": "913-526-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N SAM HOUSTON PKWY E STE 307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770605906",
            "telephone_number": "281-616-6769",
            "fax_number": "832-201-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBENEI",
        "first_name": "ERICK",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-03",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.