Individual provider Active NPI

Holly Kristina Royer, FNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1063259992
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168527 Issued in TX
Practice address
515 N 3Rd St
Longview, TX 75601-6546
Phone
(903) 475-3474
Fax
(903) 367-0300
NPI assigned
Jul 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 1168527 TX Primary

Addresses

Primary practice location

515 N 3Rd St
Longview, TX 75601-6546

Mailing address

515 N 3Rd St
Longview, TX 75601-6546
Phone (903) 475-3474

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
I20240906000081 TX Practitioner - Nurse Practitioner 0042750945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Carebridge Medteam, LLCGroup PAC ID 0547795031, 3 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

1600 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 758-1818

515 N 3Rd St
Longview, TX 75601-6546
Phone (903) 475-3474

Hospital & facility affiliations

  • White Rock Medical Center Hospital, Dallas, TX, CCN 450678
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1168527TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carebridge Medteam, LLC CurrentSince Oct 1, 2024 Accepting new patients
Wound Management Specialists, LLC CurrentSince Aug 5, 2024 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Nov 17, 2025 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

1600 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 215-3149

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

Organizations & group practices 3

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 3

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": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1063259992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-3474",
            "fax_number": "903-367-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 3RD ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016546",
            "telephone_number": "903-475-3474",
            "fax_number": "903-367-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "HOLLY",
        "middle_name": "KRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.