Individual provider Active NPI

Kaylarae Welton Engle, APRN FNP-C

  • Family Medicine Physician
  • Van Horn, TX
National Provider Identifier
1427634815
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1031297 Issued in TX
Practice address
Eisenhower Rd & FM 2185 Rd
Van Horn, TX 79855
Phone
(432) 283-2760
NPI assigned
Mar 24, 2021
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1031297 TX Primary

Addresses

Primary practice location

Eisenhower Rd & FM 2185 Rd
Van Horn, TX 79855

Mailing address

PO Box 609
Van Horn, TX 79855-0609
Phone (915) 497-1507

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
I20210414002233 TX Practitioner - Nurse Practitioner 2769890615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Hospital Leasing Van Horn IncGroup PAC ID 1456381540, shared by 3 NPIs, 5 clinicians

Practice addresses (Care Compare)

Eisenhower Rd and FM
Suite 2185
Van Horn, TX 79855
Phone (432) 283-2760

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Hospital Leasing Van Horn Inc CurrentSince Mar 1, 2021 Accepting new patients
Preferred Hospital Leasing Van Horn Inc Family Medicine CurrentSince Mar 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1427634815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "VAN HORN",
            "state": "TX",
            "postal_code": "798550609",
            "telephone_number": "915-497-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EISENHOWER RD & FM 2185 RD",
            "city": "VAN HORN",
            "state": "TX",
            "postal_code": "79855",
            "telephone_number": "432-283-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "KAYLARAE",
        "middle_name": "WELTON",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1031297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Horn, TX

Sources for this page

Verify at the official NPI Registry.