Individual provider Active NPI

Kristen Leigh Janes, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Clarksville, TX
National Provider Identifier
1104453331
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1069771 Issued in TX
Practice address
120 Farm Road 2825
Clarksville, TX 75426-3348
Phone
(903) 427-2201
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 1069771 TX Primary

Addresses

Primary practice location

120 Farm Road 2825
Clarksville, TX 75426-3348

Mailing address

120 Farm Road 2825
Clarksville, TX 75426-3348
Phone (903) 427-2201

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
I20250411001279 TX Practitioner - Nurse Practitioner 9931623923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
B. C. Muthappa, M.D., P.a.Group PAC ID 2961689500, 7 clinicians

Practice addresses (Care Compare)

120 Farm Rd
Suite 2825
Clarksville, TX 75426-3348
Phone (903) 427-2201

Hospital & facility affiliations

  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1069771TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 30, 2025 Accepting new patients
B. C. Muthappa, M.D., P.a. Family Medicine CurrentSince Feb 2, 2025 Accepting new patients

Locations

120 Farm Road 2825
Clarksville, TX 75426
Phone (903) 427-2201

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1104453331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FARM ROAD 2825",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263348",
            "telephone_number": "903-427-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FARM ROAD 2825",
            "city": "CLARKSVILLE",
            "state": "TX",
            "postal_code": "754263348",
            "telephone_number": "903-427-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANES",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1069771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TX

Sources for this page

Verify at the official NPI Registry.