Individual provider Active NPI

Colin J Kugelmann, CRNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1366003246
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144342 Issued in TX
Practice address
3412 Burke Rd # 100
Pasadena, TX 77504-1805
Phone
(281) 888-8999
Fax
(281) 305-4054
NPI assigned
Jun 22, 2019
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144342 TX Primary
Registered Nurse 163W00000X 875137 TX

Addresses

Primary practice location

3412 Burke Rd # 100
Pasadena, TX 77504-1805

Mailing address

3730 Kirby Dr Ste 1200
Houston, TX 77098-3985
Phone (281) 888-8999

Other practice location 1

17191 St Lukes Way Ste 280
Conroe, TX 77384-8043
Phone (281) 888-8999

Other practice location 2

6419 Polaris Dr # B2
Laredo, TX 78041-2090
Phone (281) 888-8999

Other practice location 3

221 N Kansas St Ste 700
El Paso, TX 79901-1443
Phone (281) 888-8999

Other practice location 4

2501 Paredes Line Rd Ste B7
Brownsville, TX 78526-1194
Phone (281) 888-8999

Other practice location 5

2800 W Trenton Rd Ste 2868
Edinburg, TX 78539-9232
Phone (281) 888-8999

Other practice location 6

427 W 20th St Ste 300
Houston, TX 77008-2429
Phone (281) 888-8999

Other practice location 7

10023 Main St Ste C10
Houston, TX 77025-5251
Phone (281) 888-8999

Other practice location 8

7101 S Staples St Ste 101
Corpus Christi, TX 78413-5543
Phone (281) 888-8999

Other practice location 9

755 S 11th St Ste 100A
Beaumont, TX 77701-3221
Phone (281) 888-8999

Other practice location 10

7616 Branford Pl Ste 140
Sugar Land, TX 77479-3794
Phone (281) 888-8999

Other practice location 11

1908 N Laurent St Ste 120
Victoria, TX 77901-5475
Phone (281) 888-8999

Other practice location 12

427 W 20th St Ste 300
Houston, TX 77008-2429
Phone (281) 710-0310

Other practice location 13

1902 Windsor Pl Ste 102
Fort Worth, TX 76110-1866
Phone (281) 710-0310

Other practice location 14

3395 Plaza 10 Dr Ste A
Beaumont, TX 77707-2555
Phone (281) 710-0310

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
I20200403002771 TX Practitioner - Nurse Practitioner 0446689939 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiemd TX Management LLCGroup PAC ID 3678928462, 20 clinicians

Practice addresses (Care Compare)

7000 N Mopac Expy
Suite 305
Austin, TX 78731-3261
Phone (877) 988-7420

Merit-based Incentive Payment System (MIPS)

Final score
87.57 of 100Reported as group
Quality
82.69
Improvement activities
40
Cost
81.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
875137TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vein and Artery Interventional Alliance LLC CurrentSince Mar 27, 2024 Accepting new patients
Vascular Institute of North Texas, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Woodrome Medical PA CurrentSince Jul 6, 2023 Accepting new patients
Vascular Centers of Texas, PLLC CurrentSince Mar 29, 2024 Accepting new patients
Indiemd TX Management LLC CurrentSince May 7, 2025 Accepting new patients
Indiemd Network LLC PastSince Apr 9, 2023 Accepting new patients
Vascular Anesthesia Associates PLLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
West Coast Wound and Skin Care Inc Past Accepting new patients

Locations

635 Anderson Rd
Ste 4
Davis, CA 95616
Phone (530) 758-1810

7000 N Mopac Expy
Ste 305
Austin, TX 78731
Phone (877) 988-7420

3385 Fannin St
Ste A
Beaumont, TX 77701
Phone (281) 710-0310

3385 Fannin St
Ste B
Beaumont, TX 77701
Phone (281) 214-9823

3395 Plaza 10 Dr
Ste A
Beaumont, TX 77707
Phone (281) 710-0310

1305 Airport Fwy
Ste 103
Bedford, TX 76021
Phone (682) 647-6500

309 Water St
Ste 108
Boerne, TX 78006
Phone (877) 988-7420

1902 Windsor Pl
Ste 102
Fort Worth, TX 76110

427 W 20th St
Ste 300
Houston, TX 77008
Phone (281) 710-0310

7515 Main St
Ste 100
Houston, TX 77030
Phone (530) 949-6226

7019 W Village Blvd
Ste 104
Laredo, TX 78041
Phone (210) 275-5869

2121 Williams Trace Blvd
Ste 300
Sugar Land, TX 77478
Phone (281) 710-0310

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFFCCD

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1366003246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR STE 1200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983985",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 BURKE RD # 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041805",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17191 St Lukes Way Ste 280",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773848043",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6419 Polaris Dr # B2",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780412090",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 N Kansas St Ste 700",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799011443",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Paredes Line Rd Ste B7",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785261194",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 W Trenton Rd Ste 2868",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785399232",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 W 20th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770082429",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10023 Main St Ste C10",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770255251",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 S Staples St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784135543",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 S 11th St Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777013221",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7616 Branford Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774793794",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 N Laurent St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779015475",
            "country_code": "US",
            "telephone_number": "281-888-8999",
            "fax_number": "281-305-4054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "427 W 20th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770082429",
            "country_code": "US",
            "telephone_number": "281-710-0310",
            "fax_number": "281-710-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1902 Windsor Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761101866",
            "country_code": "US",
            "telephone_number": "281-710-0310",
            "fax_number": "281-710-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3395 Plaza 10 Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777072555",
            "country_code": "US",
            "telephone_number": "281-710-0310",
            "fax_number": "281-710-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUGELMANN",
        "first_name": "COLIN",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144342",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "875137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.