Active NPI
Elissa Klein
- Adult Health Nurse Practitioner
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1214198
- Practice address
- 708 Main St FL 10
Houston, TX 77002-3246 - Phone
- (855) 212-2273
- Fax
- (629) 240-6003
- NPI assigned
- Sep 26, 2025
- Last updated
- Oct 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1214198 | TX | Primary |
Addresses
Primary practice location
708 Main St FL 10
Houston, TX 77002-3246
Mailing address
5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273
Other practice location 1
4607 65th St
Lubbock, TX 79414-4833
Phone (512) 818-5475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235002072 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4607 65TH St
Lubbock, TX 79414-4833
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
7250 Dallas Pkwy
Suite 400
Plano, TX 75024-4920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1214198 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Care and Healing PC | Current | Accepting new patients | |
| Monogram Health Professional Services of Texas PLLC | Current | Accepting new patients |
Locations
5410 Maryland Way
Ste 400
Brentwood, TN 37027
708 Main St
Fl 10
Houston, TX 77002
Phone (832) 584-1436
7250 Dallas Pkwy
Ste 400
Plano, TX 75024
Phone (512) 653-3562
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1396481255
TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792627200000",
"number": "1235002072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 MARYLAND WAY STE 400",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278087",
"telephone_number": "855-212-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 MAIN ST FL 10",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770023246",
"telephone_number": "855-212-2273",
"fax_number": "629-240-6003"
}
],
"practiceLocations": [
{
"address_1": "4607 65th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794144833",
"country_code": "US",
"telephone_number": "512-818-5475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLEIN",
"first_name": "ELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-26",
"last_updated": "2026-10-22",
"certification_date": "2026-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "1214198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235002072",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.