Individual provider Active NPI

Katharine J Scheusner, NP

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1326374802
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
814566 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 606-4262
NPI assigned
Oct 19, 2009
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP121536 TX
Family Nurse Practitioner 363LF0000X 814566 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-4262

Other practice location 1

12221 Merit Dr Ste 1610
Dallas, TX 75251-2204
Phone (214) 217-1911

Other practice location 2

8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500

Other practice location 3

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 541-4500

Other identifiers 3

IdentifierTypeStateIssuer
296934701MedicaidTX
296934702MedicaidTX
296934709MedicaidTX

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
I20120511000406 TX Practitioner - Nurse Practitioner 5799822292 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Texas Emergency Physicians PLLCGroup PAC ID 8527420306, 195 clinicians

Practice addresses (Care Compare)

18780 Interstate 20 N Access Rd
Canton, TX 75103-3593
Phone (903) 567-7748

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11049OHMDRegistered Dietitian
814566TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Texas Emergency Physicians, PLLC Nurse Practitioner CurrentSince Oct 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 7, 2022 Accepting new patients
Texas Medicine Resources, LLP CurrentSince Mar 1, 2020 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jan 1, 2016 Accepting new patients
Acs Primary Care Physicians Southwest, PA Nurse Practitioner CurrentSince Oct 1, 2021 Accepting new patients
Texas Physician Resources, LLP CurrentSince Mar 1, 2020 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Dec 6, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 7, 2022 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Dec 6, 2021 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

18780 Interstate 20 N Access Rd
Canton, TX 75103
Phone (903) 567-4841

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3500 Gaston Ave
Dallas, TX 75246

3500 W Wheatland Rd
#M
Dallas, TX 75237
Phone (214) 947-7699

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129

Interoperability endpoints

  • Direct secure messaging: kscheusner269030@christushealth.direct-ci.net

Organizations & group practices 9

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": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1326374802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-606-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-606-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12221 Merit Dr Ste 1610",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752512204",
            "country_code": "US",
            "telephone_number": "214-217-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8389 S Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757035408",
            "country_code": "US",
            "telephone_number": "903-606-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-541-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEUSNER",
        "first_name": "KATHARINE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "814566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296934701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296934702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "296934709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.