Individual provider Active NPI

Jennifer Johnson Kitkowski, APRN

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1417598905
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1038661 Issued in TX
Practice address
865 Junction Dr
Allen, TX 75013-5006
Phone
(214) 547-8300
Fax
(214) 547-9787
NPI assigned
Oct 4, 2019
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 1038661 TX Primary
Family Nurse Practitioner 363LF0000X 26614 TN

Addresses

Primary practice location

865 Junction Dr
Allen, TX 75013-5006

Mailing address

865 Junction Dr
Allen, TX 75013-5006
Phone (214) 547-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191113002006 TN Practitioner - Nurse Practitioner 9234561259 Reassigns benefits to 1 organization
I20211021002188 TX Practitioner - Nurse Practitioner 9234561259 Reassigns benefits to 1 organization

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
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

5236 W University Dr
Suite 1000
McKinney, TX 75071-8106
Phone (972) 923-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26614TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Feb 17, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince Oct 16, 2019 Accepting new patients
Texas Oncology PA Current Accepting new patients
Texas Oncology PA CurrentSince Feb 17, 2025 Accepting new patients

Locations

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

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

5236 W University Dr
Ste 1000
McKinney, TX 75071
Phone (972) 542-8609

Interoperability endpoints

  • Direct secure messaging: jennifer.kitkowski@txo.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1417598905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135006",
            "telephone_number": "214-547-8300",
            "fax_number": "214-547-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 JUNCTION DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135006",
            "telephone_number": "214-547-8300",
            "fax_number": "214-547-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1038661",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.