Individual provider Active NPI

Mikala Lee Romine, FNP

  • Family Nurse Practitioner
  • Temple, TX
National Provider Identifier
1184115016
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137455 Issued in TX
Practice address
9325 Tarver Dr Ste a-102
Temple, TX 76502-6162
Phone
(254) 218-3295
NPI assigned
May 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 AP137455 TX Primary

Addresses

Primary practice location

9325 Tarver Dr Ste a-102
Temple, TX 76502-6162

Mailing address

7820 Dominik Dr
Temple, TX 76502-5955

Other identifiers 3

IdentifierTypeStateIssuer
8JU164OtherTXBCBS ID
AP137455OtherTXTEXAS APRN LICENSE
689246OtherTXPTAN

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
I20180824000209 TX Practitioner - Nurse Practitioner 2668721648 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137455TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Injury Treatment Services PLLC CurrentSince May 18, 2018 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 17, 2026 Accepting new patients

Locations

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

1602 W Avenue A
Ste B
Temple, TX 76504
Phone (254) 778-6474

61 N Kegley Rd
Temple, TX 76502
Phone (254) 899-2225

1602 W Avenue A
Temple, TX 76504
Phone (254) 778-6474

Interoperability endpoints

  • Direct secure messaging: mschooler@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1184115016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 DOMINIK DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 TARVER DR STE A-102",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765026162",
            "telephone_number": "254-218-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMINE",
        "first_name": "MIKALA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-26",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "8JU164",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS APRN LICENSE",
            "identifier": "AP137455",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "689246",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.