Individual provider Active NPI

Mary Elizabeth Kasprisin, NP

  • Adult Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1215386149
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP128772 Issued in TX
Practice address
1600 Coit Rd
BLDG 1 Suite 206
Plano, TX 75075-6174
Phone
(972) 612-4999
Fax
(972) 612-1555
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP128772 TX Primary

Addresses

Primary practice location

1600 Coit Rd
BLDG 1 Suite 206
Plano, TX 75075-6174

Mailing address

2701 W 15TH St
Suite 629
Plano, TX 75075-7523
Phone (972) 612-4999

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
I20161024000275 TX Practitioner - Nurse Practitioner 9032497250 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation & Physical Medicine LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

Organizations & group practices 1

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1215386149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 W 15TH ST",
            "address_2": "SUITE 629",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757523",
            "telephone_number": "972-612-4999",
            "fax_number": "972-612-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COIT RD",
            "address_2": "BLDG 1 SUITE 206",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756174",
            "telephone_number": "972-612-4999",
            "fax_number": "972-612-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPRISIN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP128772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.