Individual provider Active NPI

Kristine Rovelo

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1588306252
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1068755 Issued in TX
Practice address
6901 Snider PLZ Ste 130
Dallas, TX 75205-5649
Phone
(214) 696-8033
NPI assigned
Apr 12, 2022
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 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 1068755 TX Primary

Addresses

Primary practice location

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649

Mailing address

6901 Snider PLZ Ste 130
Dallas, TX 75205-5649

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
I20220622002207 TX Practitioner - Nurse Practitioner 1355720368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Physician Associates PLLCGroup PAC ID 1759379092, 30 clinicians

Practice addresses (Care Compare)

2727 E Lemmon Ave
Dallas, TX 75204-2833
Phone (214) 443-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1068755TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC CurrentSince Jan 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 12, 2023 Accepting new patients

Locations

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1588306252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 SNIDER PLZ STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055649",
            "telephone_number": "214-696-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROVELO",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1068755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.