Active NPI
Lindsie Kelso, CNP
- Family Medicine Physician
- Double Oak, TX
National Provider Identifier
1336912435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1156472
- Practice address
- 8501 FM 407
Double Oak, TX 75077-3031 - Phone
- (505) 934-0009
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1156472 | TX | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 76561 | NM |
Addresses
Primary practice location
8501 FM 407
Double Oak, TX 75077-3031
Mailing address
2728 McKinnon St Apt 505
Dallas, TX 75201-1635
Phone (055) 934-0009
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250527000618 | TX | Practitioner - Nurse Practitioner | 0749709483 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Texas Emergency Physicians, PA
Practice addresses (Care Compare)
8501 Justin Rd
Double Oak, TX 75077-3031
Phone (940) 784-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76561 | NM | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottonwood Family Medicine LLC | Current | Accepting new patients | |
| Cottonwood Home Health Care LLC | Current | Accepting new patients | |
| LK Medical PLLC | Primary Care | Current | Accepting new patients |
Locations
5900 Balcones Dr
Ste 100
Austin, TX 78731
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Albuquerque, NM
- NPI 1528429438
-
- Home Health Agency
- Albuquerque, NM
- NPI 1902753114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1336912435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 MCKINNON ST APT 505",
"city": "DALLAS",
"state": "TX",
"postal_code": "752011635",
"telephone_number": "055-934-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 FM 407",
"city": "DOUBLE OAK",
"state": "TX",
"postal_code": "750773031",
"telephone_number": "505-934-0009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSO",
"first_name": "LINDSIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "1156472",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NM",
"license": "76561",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Double Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.