Individual provider Active NPI

Kellee Cole

  • Acute Care Nurse Practitioner
  • Little Elm, TX
National Provider Identifier
1366901274
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP140420 Issued in TX
Practice address
1100 Barn Owl Dr
Little Elm, TX 75068-4661
Phone
(214) 669-0659
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 AP140420 TX Primary

Addresses

Primary practice location

1100 Barn Owl Dr
Little Elm, TX 75068-4661

Mailing address

1100 Barn Owl Dr
Little Elm, TX 75068-4661

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
I20190619000259 TX Practitioner - Nurse Practitioner 3971837303 Reassigns benefits to 1 organization
Practice locations: Little Elm, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MD on Call PAGroup PAC ID 2264402874, 11 clinicians

Practice addresses (Care Compare)

5601 Warren Pkwy
Frisco, TX 75034-4069
Phone (214) 221-6362

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD on Call PA CurrentSince Nov 9, 2021 Accepting new patients

Locations

8050 Meadow Rd
Dallas, TX 75231
Phone (214) 396-5260

5601 Warren Pkwy
Frisco, TX 75034
Phone (214) 407-5000

6160 Warren Pkwy
Ste 100
Frisco, TX 75034
Phone (866) 217-1463

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

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1366901274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BARN OWL DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BARN OWL DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750684661",
            "telephone_number": "214-669-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KELLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP140420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

Verify at the official NPI Registry.