Kelechi Blanton, NP

Individual provider Active NPI Acute Care Nurse Practitioner · Ennis, TX

NPI 1598325136 · NPPES record last updated Nov 4, 2025

Key facts

NPI
1598325136
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
AP141146 (TX)
Practice address
601 S Clay St Ste 105
Ennis, TX 75119-5771
Phone
(972) 875-6600
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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 45

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 45

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital District (597 clinicians)

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

  • Parkland Health & Hospital System Hospital · Dallas, TX · CCN 450015

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220119000170 TX Practitioner - Nurse Practitioner 7618369919 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KB Group Homes Current Accepting new patients
Dallas County Hospital District Multi-Specialty Current
since Feb 28, 2024
Accepting new patients
Dallas County Hospital District Multi-Specialty Current
since Feb 28, 2024
Accepting new patients
Dallas County Hospital District Multi-Specialty Current Accepting new patients

Locations

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP141146 TX
Acute Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LA2100X AP141146 TX Yes
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X AP141146 TX

Addresses

Primary practice location

601 S Clay St Ste 105
Ennis, TX 75119-5771

Mailing address

PO Box 542922
Grand Prairie, TX 75054-2922
Phone (612) 235-9988

Other providers in Ennis, TX

All providers in Ennis, TX · Acute Care Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.