Individual provider Active NPI

Sarah Kellen, FNP-C

  • Family Nurse Practitioner
  • La Grange, TX
National Provider Identifier
1447709779
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132073 Issued in TX
Practice address
890 E Travis St
La Grange, TX 78945-2364
Phone
(979) 968-2000
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132073 TX Primary

Addresses

Primary practice location

890 E Travis St
La Grange, TX 78945-2364

Mailing address

PO Box 92
Warda, TX 78960-0092
Phone (979) 540-9857

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
I20180209001677 TX Practitioner - Nurse Practitioner 6103186283 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Practice addresses (Care Compare)

2001 W State Hwy 71
Suite B
La Grange, TX 78945-5058
Phone (210) 906-8478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP132073TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Track Urgent Care CurrentSince Sep 6, 2024 Accepting new patients
Tejas Health Care Current Accepting new patients
Fast Track Urgent Care - Bastrop CurrentSince Sep 6, 2024 Accepting new patients
Tejas Health Care CurrentSince Nov 13, 2017 Accepting new patients
Laura Birnbaum, M.D., P.a. PastSince Feb 2, 2026 Accepting new patients

Locations

753 E Travis St
La Grange, TX 78945
Phone (979) 968-2000

890 E Travis St
La Grange, TX 78945
Phone (979) 968-2000

2001 W State Highway 71
Ste B
La Grange, TX 78945
Phone (979) 206-2288

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/26691/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1447709779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "WARDA",
            "state": "TX",
            "postal_code": "789600092",
            "telephone_number": "979-540-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E TRAVIS ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789452364",
            "telephone_number": "979-968-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEN",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, TX

Sources for this page

Verify at the official NPI Registry.