Individual provider Active NPI

Daniel Kern, FNP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1578921847
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130084 Issued in TX
Practice address
4510 Bell St
Amarillo, TX 79109-5714
Phone
(806) 212-4835
Fax
(806) 212-0900
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 AP130084 TX Primary

Addresses

Primary practice location

4510 Bell St
Amarillo, TX 79109-5714

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-6965

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
I20160216001076 TX Practitioner - Nurse Practitioner 7719282516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

1751 Wallace Blvd
Amarillo, TX 79106-1711
Phone (806) 359-4673

4510 Bell St
Amarillo, TX 79109-5714
Phone (806) 212-4835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130084TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Southwest Medical Services Inc CurrentSince Sep 24, 2023 Accepting new patients
Em Alliance Texas, PLLC CurrentSince Nov 12, 2024 Accepting new patients
Bsa Physicians Group Inc CurrentSince Oct 15, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Jul 17, 2017 Accepting new patients
Regional Employee Assistance Program Inc Nurse Practitioner CurrentSince Jul 17, 2017 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Bsa Physicians Group Inc CurrentSince Oct 15, 2020 Accepting new patients
Shannon Clinic Past Accepting new patients
Communities of Texas Healthcare, LLP Past Accepting new patients

Locations

8960 Hillside Rd
Amarillo, TX 79119
Phone (806) 351-6987

4510 Bell St
Amarillo, TX 79109
Phone (806) 212-4835

4121 S Georgia St
Amarillo, TX 79110
Phone (561) 203-0611

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4207 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 351-7850

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

115 W 1st St
San Angelo, TX 76903
Phone (325) 245-5469

3535 Knickerbocker Rd
San Angelo, TX 76904
Phone (915) 947-6495

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

Interoperability endpoints

  • Direct secure messaging: dkern38943@shannonhealth.direct-ci.com
  • Direct secure messaging: dkern323414@ahs.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1578921847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095714",
            "telephone_number": "806-212-4835",
            "fax_number": "806-212-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "DANIEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.