Individual provider Active NPI

Lori Gayle Pruitt, FNP-C

  • Family Nurse Practitioner
  • Kerrville, TX
National Provider Identifier
1316413255
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1139202 Issued in TX
Practice address
575 Hill Country Dr
Kerrville, TX 78028-6024
Phone
(830) 258-7762
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 664299 TX
Family Nurse Practitioner 363LF0000X AP1139202 TX Primary

Addresses

Primary practice location

575 Hill Country Dr
Kerrville, TX 78028-6024

Mailing address

170 Mackay Dr
Kerrville, TX 78028-8428
Phone (830) 285-0929

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
I20181129001624 TX Practitioner - Nurse Practitioner 8123362381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Gynecology PAGroup PAC ID 2062582638, 3 clinicians

Practice addresses (Care Compare)

176 Fairway Dr
Kerrville, TX 78028-6437
Phone (830) 792-0805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
664299TXMDLactation Consultant (Registered Nurse)
AP1139202TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Gynecology PA CurrentSince Jun 21, 2019 Accepting new patients

Locations

176 Fairway Dr
Kerrville, TX 78028
Phone (830) 792-0805

218 Sidney Baker St
Kerrville, TX 78028
Phone (830) 257-2070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBIEAA/Endpoint/JBIEAA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1316413255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MACKAY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780288428",
            "telephone_number": "830-285-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024",
            "telephone_number": "830-258-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT",
        "first_name": "LORI",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "664299",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP1139202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.