Individual provider Active NPI

Kelli Denise Clouse-Mabey, FNP-C

  • Family Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1003678442
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1151065 Issued in TX
Practice address
1906 W US Highway 82
Sherman, TX 75092-6893
Phone
(903) 892-8398
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 1151065 TX Primary

Addresses

Primary practice location

1906 W US Highway 82
Sherman, TX 75092-6893

Mailing address

2111 Jason Cir
Sherman, TX 75092-3035

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
I20260305002654 TX Practitioner - Nurse Practitioner 2163904483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1906 Hwy 82 W
Sherman, TX 75092

1906 W US Hwy 82
Sherman, TX 75092-6893

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1151065TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Medicine,PA CurrentSince Jan 13, 2026 Accepting new patients
Sherman Apothecary, LP PastSince Feb 4, 2024 Accepting new patients

Locations

1906 W US Highway 82
Sherman, TX 75092
Phone (903) 892-8398

Organizations & group practices 2

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1003678442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 JASON CIR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750926893",
            "telephone_number": "903-892-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE-MABEY",
        "first_name": "KELLI",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1151065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.