Individual provider Active NPI

Kristi Lee Estes, FNP-C

  • Family Nurse Practitioner
  • Crockett, TX
National Provider Identifier
1497492086
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1055851 Issued in TX
Practice address
1122 E Loop 304
Crockett, TX 75835-1810
Phone
(936) 655-0500
NPI assigned
May 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 1055851 TX Primary

Addresses

Primary practice location

1122 E Loop 304
Crockett, TX 75835-1810

Mailing address

1122 E Loop 304
Crockett, TX 75835-1810
Phone (936) 655-0500

Other practice location 1

951 E Loop 304
Crockett, TX 75835-5403
Phone (936) 655-0500

Other practice location 2

125 Medical Park Ln Ste C
Huntsville, TX 77340-4957
Phone (936) 291-3219

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
I20220907001279 TX Practitioner - Nurse Practitioner 8820472061 Reassigns benefits to 1 organization

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
Texas Family Doctor PAGroup PAC ID 3577940923, 2 clinicians

Practice addresses (Care Compare)

1122 E Loop
Suite 304
Crockett, TX 75835-1810
Phone (936) 655-0500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1055851TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Family Doctor, PA CurrentSince Jun 1, 2024 Accepting new patients

Locations

951 E Loop 304
Crockett, TX 75835
Phone (936) 545-9030

1122 E Loop 304
Crockett, TX 75835
Phone (936) 544-2157

125 Medical Park Ln
Ste C
Huntsville, TX 77340
Phone (936) 291-3219

Interoperability endpoints

  • Direct secure messaging: kristi.estes.fnp.1@13218.direct.athenahealth.com
  • Direct secure messaging: kristi.estes@667987613188100.direct.elationemr.com

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.

Hospital & facility affiliations 3

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": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1497492086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351810",
            "telephone_number": "936-655-0500",
            "fax_number": "936-655-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351810",
            "telephone_number": "936-655-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 E Loop 304",
            "address_purpose": "LOCATION",
            "city": "Crockett",
            "state": "TX",
            "postal_code": "758355403",
            "country_code": "US",
            "telephone_number": "936-655-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Medical Park Ln Ste C",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404957",
            "country_code": "US",
            "telephone_number": "936-291-3219",
            "fax_number": "936-291-7206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTES",
        "first_name": "KRISTI",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1055851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crockett, TX

Sources for this page

Verify at the official NPI Registry.