Individual provider Active NPI

Kellye Hanson, APRN

  • Acute Care Nurse Practitioner
  • Baytown, TX
National Provider Identifier
1336953165
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1189512 Issued in TX
Practice address
4401 Garth Rd
Baytown, TX 77521-2122
Phone
(281) 420-8600
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1189512 TX Primary

Addresses

Primary practice location

4401 Garth Rd
Baytown, TX 77521-2122

Mailing address

4007 Rustling Woods CT
Houston, TX 77059-5509
Phone (936) 334-2592

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
I20250411001126 TX Practitioner - Nurse Practitioner 5799209771 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Radiology AssociatedGroup PAC ID 8022092451, 107 clinicians
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

16655 Southwest Fwy
Sugar Land, TX 77479-2329
Phone (281) 206-9020

4301 Garth Rd
Baytown, TX 77521-3157
Phone (281) 428-4510

4401 Garth Rd
Baytown, TX 77521-2122
Phone (281) 420-4350

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1189512TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Radiology Associated CurrentSince Dec 1, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 2, 2025 Accepting new patients
TMH Physician Associates PLLC CurrentSince Mar 2, 2025 Accepting new patients
Methodist Radiology Associates, PLLC Past Accepting new patients

Locations

4401 Garth Rd
Baytown, TX 77521
Phone (281) 420-8500

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 4

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 3

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1336953165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 RUSTLING WOODS CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595509",
            "telephone_number": "936-334-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 GARTH RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212122",
            "telephone_number": "281-420-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KELLYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1189512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.