Individual provider Active NPI

Madison Leigh Krautz, FNP-C

  • Family Nurse Practitioner
  • Port Neches, TX
National Provider Identifier
1245044981
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1041388 Issued in TX
Practice address
2246 Nall St
Port Neches, TX 77651-4208
Phone
(409) 344-4010
Fax
(409) 344-9147
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 1041388 TX Primary

Addresses

Primary practice location

2246 Nall St
Port Neches, TX 77651-4208

Mailing address

603 N 37TH St
Nederland, TX 77627-7141
Phone (409) 540-5859

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
I20250307001367 TX Practitioner - Nurse Practitioner 8224558580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Port Neches Family MedicineGroup PAC ID 5991190944, 2 clinicians

Practice addresses (Care Compare)

2246 Nall St
Port Neches, TX 77651-4208
Phone (409) 344-4010

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Port Neches Family Medicine CurrentSince Feb 25, 2025 Accepting new patients

Locations

2246 Nall St
Port Neches, TX 77651
Phone (409) 344-4010

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.

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1245044981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N 37TH ST",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277141",
            "telephone_number": "409-540-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2246 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514208",
            "telephone_number": "409-344-4010",
            "fax_number": "409-344-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTZ",
        "first_name": "MADISON",
        "middle_name": "LEIGH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1041388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

Verify at the official NPI Registry.