Individual provider Active NPI

Lauren Kelly Kutac, RN, FNP-C

  • Family Nurse Practitioner
  • Hallettsville, TX
National Provider Identifier
1497764047
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0705076 Issued in TX
Practice address
1406 N Texana St
Hallettsville, TX 77964-2021
Phone
(361) 798-3671
Fax
(361) 798-3128
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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 F0705076 TX Primary

Addresses

Primary practice location

1406 N Texana St
Hallettsville, TX 77964-2021

Mailing address

1406 N Texana St
Hallettsville, TX 77964-2021
Phone (361) 798-3671

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
I20060907000574 TX Practitioner - Nurse Practitioner 2668476581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists of Texas PA 17 clinicians

Practice addresses (Care Compare)

2911 Medical Arts St
Suite 10
Austin, TX 78705-3302
Phone (866) 473-0663

Hospital & facility affiliations

  • Lavaca Medical Center Hospital, Hallettsville, TX, CCN 451376

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0705076TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA Family CurrentSince Oct 1, 2022 Accepting new patients
Lavaca Hospital District CurrentSince Oct 8, 2016 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

4645 Wyndham Ln
Ste 290
Frisco, TX 75033
Phone (469) 200-8002

1406 N Texana St
Ste D
Hallettsville, TX 77964
Phone (361) 798-1200

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

1406 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

307 W Cypress St
San Antonio, TX 78212
Phone (210) 223-5521

Organizations & group practices 3

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 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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1497764047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 N TEXANA ST",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779642021",
            "telephone_number": "361-798-3671",
            "fax_number": "361-798-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 N TEXANA ST",
            "city": "HALLETTSVILLE",
            "state": "TX",
            "postal_code": "779642021",
            "telephone_number": "361-798-3671",
            "fax_number": "361-798-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTAC",
        "first_name": "LAUREN",
        "middle_name": "KELLY",
        "credential": "RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0705076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallettsville, TX

Sources for this page

Verify at the official NPI Registry.