Individual provider Active NPI

Kristin Elizabeth Kamprath, MPAS PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1225338775
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06938 Issued in TX
Practice address
900 Jerome St
Suite 204
Fort Worth, TX 76104-3945
Phone
(817) 720-9552
Fax
(817) 921-1830
NPI assigned
Nov 1, 2010
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06938 TX Primary

Addresses

Primary practice location

900 Jerome St
Suite 204
Fort Worth, TX 76104-3945

Mailing address

900 Jerome St
Suite 204
Fort Worth, TX 76104-3945
Phone (817) 720-9552

Other identifiers 2

IdentifierTypeStateIssuer
322060001MedicaidTX
322060002MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KRISTIN.KAMPRATH@hca7.eclinicaldirectplus.com

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
I20110517000864 TX Practitioner - Physician Assistant 3971789447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
205 Lonestar Medical General Surgery
Granbury, TX 76048-5689
Phone (817) 489-7450

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 877-5292

900 Jerome St
Suite 204
Fort Worth, TX 76104-3940
Phone (817) 885-7827

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 17, 2011 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 17, 2011 Accepting new patients
Lonestar Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

Interoperability endpoints

  • Direct secure messaging: dmckkampr@yourcarecommunity.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1225338775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JEROME ST",
            "address_2": "SUITE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043945",
            "telephone_number": "817-720-9552",
            "fax_number": "817-921-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST",
            "address_2": "SUITE 204",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043945",
            "telephone_number": "817-720-9552",
            "fax_number": "817-921-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMPRATH",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MPAS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322060001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322060002",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KRISTIN.KAMPRATH@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 Jerome St",
            "address_2": "SUITE 204",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.