Individual provider Active NPI

Kathryn Fussell, APRN-CNP

  • Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1598424400
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1059589 Issued in TX
Practice address
1017 Ray Fisher Rd
Lufkin, TX 75901-7550
Phone
(936) 676-0772
NPI assigned
Dec 8, 2021
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1059589 TX Primary

Addresses

Primary practice location

1017 Ray Fisher Rd
Lufkin, TX 75901-7550

Mailing address

1017 Ray Fisher Rd
Lufkin, TX 75901-7550
Phone (936) 676-0772

Other names 1

  • Mrs. Kathryn Fussell Other 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
I20220527000562 TX Practitioner - Nurse Practitioner 8022496348 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Front Porch Health and Wellness Family CurrentSince Aug 25, 2025 Accepting new patients
Icarepro of Texas, PA CurrentSince Feb 28, 2024 Accepting new patients
Icare Pro of Texas Aco Billing Professional Association Nurse Practitioner CurrentSince Feb 28, 2024 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Feb 5, 2025 Accepting new patients
Front Porch Health and Wellness CurrentSince Aug 25, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC Nurse Practitioner CurrentSince Feb 5, 2025 Accepting new patients
East Texas Community Health Services, Inc PastSince Dec 21, 2025 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

4114 McKnight Rd
Ste C
Texarkana, TX 75503
Phone (501) 492-0099

4140 McKnight Rd
Ste D
Texarkana, TX 75503

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1598424400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 RAY FISHER RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017550",
            "telephone_number": "936-676-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 RAY FISHER RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759017550",
            "telephone_number": "936-676-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSSELL",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1059589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FUSSELL",
            "prefix": "MRS.",
            "credential": "APRN-CNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.