Individual provider Active NPI

Kristin Rosenbaum

  • Psychiatric/Mental Health Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1154989275
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP140618 Issued in TX
Practice address
5250 US Highway 277 S
Abilene, TX 79605-4547
Phone
(325) 899-1053
NPI assigned
Jun 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140618 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140618 TX Primary

Addresses

Primary practice location

5250 US Highway 277 S
Abilene, TX 79605-4547

Mailing address

5250 US Highway 277 S
Abilene, TX 79605-4547
Phone (325) 899-1053

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
I20200225002026 TX Practitioner - Nurse Practitioner 4486081817 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TWMH LLCGroup PAC ID 3476998642, 3 clinicians

Practice addresses (Care Compare)

2110 N Willis St
Suite B
Abilene, TX 79603-4352
Phone (325) 232-8675

5250 US Hwy 277 S
Abilene, TX 79605-4547
Phone (325) 899-1053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140618TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Psychcare of Dallas I, PLLC Family CurrentSince Feb 3, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 1, 2020 Accepting new patients
TWMH LLC CurrentSince Feb 1, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 1, 2020 Accepting new patients
Dr Tim Martin MD PLLC PastSince May 18, 2025 Accepting new patients

Locations

5250 US Highway 277 S
Abilene, TX 79605
Phone (325) 899-1053

2110 N Willis St
Ste B
Abilene, TX 79603
Phone (325) 232-8675

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

1900 Oneal St
Gainesville, TX 76240
Phone (940) 665-2826

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

4200 Shepherd Ln
Mesquite, TX 75180
Phone (972) 286-0335

7146 Baker Blvd
Richland Hills, TX 76118
Phone (817) 589-1734

210 37th St
Snyder, TX 79549
Phone (325) 573-6332

Interoperability endpoints

  • Direct secure messaging: kristin.rosenbaum.1@29687.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1154989275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 US HIGHWAY 277 S",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054547",
            "telephone_number": "325-899-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 US HIGHWAY 277 S",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054547",
            "telephone_number": "325-899-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBAUM",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140618",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.