Active NPI
Nicole Lee Kroll, FNP-BC, PMHNP-BC
- Adult Health Nurse Practitioner
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP115032
- Practice address
- 8447 John Sharp Pkwy
Bryan, TX 77807-1552 - Phone
- (979) 436-0291
- Fax
- (979) 436-0102
- NPI assigned
- Aug 10, 2006
- Last updated
- May 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP115032 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | AP115032 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP115032 | TX |
Addresses
Primary practice location
8447 John Sharp Pkwy
Bryan, TX 77807-1552
Mailing address
8447 John Sharp Pkwy
Bryan, TX 77807-1552
Phone (361) 579-0315
Other practice location 1
311 Houston St
1264 Tamu
College Station, TX 77843-1264
Phone (979) 458-8300
Other names 1
- Nicole Lee Moore
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP115032 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas a&M University System Health Science Center | Family | Current | Accepting new patients |
| Texas a&M University EMS | Current | Accepting new patients | |
| Texas a & M University | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Past | Accepting new patients | |
| Christopher R Lockhart MD, PA | Past | Accepting new patients | |
| St. Joseph Regional Health Center | Past | Accepting new patients | |
| Vanguard Geriatrics Inc | Adult Health | Past | Accepting new patients |
| Aguirre Family Care Clinic | Past | Accepting new patients |
Locations
8447 John Sharp Pkwy
Bryan, TX 77807
Phone (979) 436-0155
311 Houston St
College Station, TX 77843
Phone (979) 458-8300
Interoperability endpoints
- nkroll32318@texasamuniversity.gardenplot.direct-ci.com
Organizations & group practices 9
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.
-
dba Texas A&M University School of Nursing Mobile Clinic
- Rural Health Clinic/Center
- Bryan, TX
- NPI 1851918700
-
dba Texas A&M University System Health University Health Services
- Primary Care Clinic/Center
- College Station, TX
- NPI 1528108826
-
- Land Ambulance
- College Station, TX
- NPI 1316092562
-
- Family Medicine Physician
- Bryan, TX
- NPI 1063200137
-
- Clinic/Center
- Buffalo, TX
- NPI 1649335100
-
dba Lockhart Medical Services
- Internal Medicine Physician
- Houston, TX
- NPI 1205869518
-
- Internal Medicine Physician
- College Station, TX
- NPI 1053373951
-
dba St. Joseph Buffalo Family Medicine Clinic
- Rural Health Clinic/Center
- Buffalo, TX
- NPI 1215192398
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1356300420
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1508877267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8447 JOHN SHARP PKWY",
"city": "BRYAN",
"state": "TX",
"postal_code": "778071552",
"telephone_number": "361-579-0315",
"fax_number": "361-579-0325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8447 JOHN SHARP PKWY",
"city": "BRYAN",
"state": "TX",
"postal_code": "778071552",
"telephone_number": "979-436-0291",
"fax_number": "979-436-0102"
}
],
"practiceLocations": [
{
"address_1": "311 Houston St",
"address_2": "1264 Tamu",
"address_purpose": "LOCATION",
"city": "College Station",
"state": "TX",
"postal_code": "778431264",
"country_code": "US",
"telephone_number": "979-458-8300",
"fax_number": "979-459-8319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KROLL",
"first_name": "NICOLE",
"middle_name": "LEE",
"credential": "FNP-BC, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP115032",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP115032",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP115032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MOORE",
"middle_name": "LEE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.