Individual provider Active NPI

Keith Charles Rummel, FNP

  • Family Nurse Practitioner
  • Sunnyvale, TX
National Provider Identifier
1467497743
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
658261 Issued in TX
Practice address
231 South Collins
Emergency Dept
Sunnyvale, TX 75182-4624
Phone
(972) 892-3000
NPI assigned
Jun 19, 2006
Last updated
Dec 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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 658261 TX Primary

Addresses

Primary practice location

231 South Collins
Emergency Dept
Sunnyvale, TX 75182-4624

Mailing address

Dept 960390
Oklahoma City, OK 73196-0390
Phone (877) 485-4474

Other identifiers 1

IdentifierTypeStateIssuer
153508010MedicaidTX

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
I20040518001058 TX Practitioner - Nurse Practitioner 7719978923 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.13 of 100Reported as group
Quality
90.84
Improvement activities
40
Cost
77.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
658261TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Central Texas PLLC CurrentSince Aug 1, 2023 Accepting new patients
WH Services Dallas LLC CurrentSince Jun 1, 2023 Accepting new patients
Small Hospital Innovations LLC CurrentSince Nov 1, 2024 Accepting new patients
Century Integrated Partners, Inc CurrentSince Jul 1, 2020 Accepting new patients
Innovative Emergency Physicians of Frisco, PA CurrentSince Apr 17, 2013 Accepting new patients
Republic Emergency Services PA Past Accepting new patients
Greater San Antonio Emergency Physicians, PA Past Accepting new patients
Brazos Emergency Physicians, PA Past Accepting new patients
Hebron Emergency Physicians PLLC Past Accepting new patients
Chapel Emergency Physicians PLLC Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

12505 Lebanon Rd
Frisco, TX 75035
Phone (972) 731-4800

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

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

Organizations & group practices 11

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1467497743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 960390",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960390",
            "telephone_number": "877-485-4474",
            "fax_number": "405-844-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SOUTH COLLINS",
            "address_2": "EMERGENCY DEPT",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824624",
            "telephone_number": "972-892-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMEL",
        "first_name": "KEITH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "658261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153508010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.