Individual provider Active NPI

Katherine Lynn Rolon, FNP-C

  • Family Nurse Practitioner
  • Atlanta, TX
National Provider Identifier
1518424159
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137409 Issued in TX
Practice address
106 S Loop Highway 59
Atlanta, TX 75551
Phone
(903) 796-9355
Fax
(903) 796-9360
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 AP137409 TX Primary

Addresses

Primary practice location

106 S Loop Highway 59
Atlanta, TX 75551

Mailing address

106 S Loop Hwy 59
Atlanta, TX 75551
Phone (903) 796-9355

Other names 1

  • Miss Katherine Lynn Cannon Former name

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
I20190416001790 TX Practitioner - Nurse Practitioner 5597006734 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

106 US Hwy 59
Atlanta, TX 75551-2010
Phone (903) 796-9355

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP137409TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pallicare, Inc CurrentSince Aug 30, 2021 Accepting new patients
North Texas Physician Services, PLLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Healthcare Express, LLP Urgent Care Current Accepting new patients
Healthcare Express, LLP CurrentSince Sep 1, 2021 Accepting new patients
Healthcare Express, LLP Urgent Care CurrentSince Sep 1, 2021 Accepting new patients
Healthcare Express, LLP Urgent Care Past Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients

Locations

106 US Highway 59
Atlanta, TX 75551
Phone (903) 769-9355

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

1509 W Loop 281
Longview, TX 75604
Phone (903) 759-9355

711 E End Blvd S
Marshall, TX 75670
Phone (903) 938-4363

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

1004 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 717-3418

5220 SE Loop 286
Paris, TX 75460
Phone (903) 401-8349

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

5610 Richmond Rd
Texarkana, TX 75503
Phone (877) 670-1120

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

4701 W 7th St
Wake Village, TX 75501
Phone (903) 831-4065

Interoperability endpoints

  • Direct secure messaging: krolon597106@christushealth.direct-ci.net

Organizations & group practices 7

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 2

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": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1518424159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S LOOP HWY 59",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "75551",
            "telephone_number": "903-796-9355",
            "fax_number": "903-796-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S LOOP HIGHWAY 59",
            "city": "ATLANTA",
            "state": "TX",
            "postal_code": "75551",
            "telephone_number": "903-796-9355",
            "fax_number": "903-796-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLON",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "CANNON",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, TX

Sources for this page

Verify at the official NPI Registry.