Individual provider Active NPI

Katelynn Mann, MSN, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1609379890
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136645 Issued in TX
Practice address
5425 W Spring Creek Pkwy Ste 105
Plano, TX 75024-4243
Phone
(972) 943-8440
Fax
(972) 943-8348
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 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 AP136645 TX Primary

Addresses

Primary practice location

5425 W Spring Creek Pkwy Ste 105
Plano, TX 75024-4243

Mailing address

PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213

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
I20180509000862 TX Practitioner - Nurse Practitioner 5193089662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5425 W Spring Creek Pkwy
Suite 205
Plano, TX 75024-4236
Phone (972) 526-5860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physician Associates PLLC CurrentSince Mar 26, 2018 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Aug 15, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Feb 1, 2020 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Feb 1, 2020 Accepting new patients
Texas Digestive Disease Consultants PLLC Past Accepting new patients

Locations

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

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

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

5425 W Spring Creek Pkwy
Ste 105
Plano, TX 75024
Phone (972) 943-8440

5655 W Spring Creek Pkwy
Ste 110
Plano, TX 75024

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 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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1609379890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35629",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752350629",
            "telephone_number": "214-424-2213",
            "fax_number": "214-231-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244243",
            "telephone_number": "972-943-8440",
            "fax_number": "972-943-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "KATELYNN",
        "credential": "MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.