Individual provider Active NPI

Katherine Marie Rogers, FNP

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1619700937
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1178715 Issued in TX
Practice address
120 Hillcrest Medical Blvd Ste 200
Waco, TX 76712-8950
Phone
(682) 300-3130
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 1178715 TX Primary

Addresses

Primary practice location

120 Hillcrest Medical Blvd Ste 200
Waco, TX 76712-8950

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krogers491816@direct.sw.org

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
I20241204001169 TX Practitioner - Nurse Practitioner 8224564075 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1178715TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Pediatrics CurrentSince Nov 26, 2024 Accepting new patients
Scott & White Clinic Pediatrics Current Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

1009 Arbor Park Dr
Belton, TX 76513
Phone (254) 831-2100

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2405 Clear Creek Rd
Killeen, TX 76549
Phone (254) 618-1600

3801 Scott and White Dr
Killeen, TX 76543
Phone (254) 680-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

6684 W Adams Ave
Temple, TX 76502
Phone (254) 899-4200

1901 SW H K Dodgen Loop
Bldg 300
Temple, TX 76502
Phone (254) 935-4888

120 Hillcrest Medical Blvd
Ste 200
Waco, TX 76712
Phone (254) 297-0400

Interoperability endpoints

  • Direct secure messaging: krogers491816@direct.sw.org
  • Direct secure messaging: katherine.rogers.1@31156.direct.athenahealth.com

Organizations & group practices 3

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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1619700937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD STE 200",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128950",
            "telephone_number": "682-300-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1178715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krogers491816@direct.sw.org",
            "affiliation": "N",
            "address_1": "120 Hillcrest Medical Blvd Ste 200",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767128950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.