Individual provider Active NPI

Kyle David Motsenbocker, FNP-C

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1124662028
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10190965 Issued in TX
Practice address
2700 Cedar Creek LN Apt 1226
Denton, TX 76210-2110
Phone
(940) 284-3212
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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 F10190965 TX Primary

Addresses

Primary practice location

2700 Cedar Creek LN Apt 1226
Denton, TX 76210-2110

Mailing address

2700 Cedar Creek LN Apt 1226
Denton, TX 76210-2110
Phone (940) 284-3212

Other identifiers 2

IdentifierTypeStateIssuer
862777OtherTXBOARD OF NURSING
F10190965OtherTXAANP-FNP CERTIFICATION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kmotsenbocker@gmail.com Other

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
I20200411000735 TX Practitioner - Nurse Practitioner 2062841125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John W Richardson MD PAGroup PAC ID 1456312032, 4 clinicians

Practice addresses (Care Compare)

2301 S FM
51 Suite 500
Decatur, TX 76234-3867
Phone (940) 627-0013

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Decatur, TX, CCN 457786
  • First Texas Home Health Home health agency, Whitesboro, TX, CCN 458193
  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10190965TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Mark G Goss MD PA CurrentSince Sep 15, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2020 Accepting new patients
Texas Health Physicians Group CurrentSince Apr 1, 2020 Accepting new patients
John W Richardson MD PA CurrentSince Sep 15, 2022 Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2301 S FM 51
Ste 500
Decatur, TX 76234
Phone (940) 627-0013

2014 Ben Merritt Dr
Ste A
Decatur, TX 76234
Phone (940) 249-9009

763 E US Highway 80
Ste 100
Forney, TX 75126
Phone (972) 279-3500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAFCDA/Endpoint/CAFCDA
  • Direct secure messaging: kyle.motsenbocker@hw1.eclinicaldirectplus.com

Organizations & group practices 6

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1124662028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CEDAR CREEK LN APT 1226",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102110",
            "telephone_number": "940-284-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CEDAR CREEK LN APT 1226",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762102110",
            "telephone_number": "940-284-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTSENBOCKER",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F10190965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "862777",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP-FNP CERTIFICATION",
            "identifier": "F10190965",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kmotsenbocker@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Denton",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "home",
            "address_1": "2700 Cedar Creek Ln Apt 1226",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762102110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.