Individual provider Active NPI

Kylee Barker, PA-C

  • Family Medicine Physician
  • Celina, TX
National Provider Identifier
1639727290
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA15468 Issued in TX
Practice address
1060 S Preston Rd Ste 104
Celina, TX 75009-3895
Phone
(972) 382-4466
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA15468 TX Primary

Addresses

Primary practice location

1060 S Preston Rd Ste 104
Celina, TX 75009-3895

Mailing address

1061 N Preston Rd Ste 104
Celina, TX 75009-3800

Other practice location 1

1061 N Coleman St Ste 10
Prosper, TX 75078-2318
Phone (469) 296-1049

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
I20220330002031 TX Practitioner - Physician Assistant 7911393996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nobility Medical PLLCGroup PAC ID 6002196300, 22 clinicians

Practice addresses (Care Compare)

1060 S Preston Rd
Suite 104
Celina, TX 75009-3895
Phone (866) 846-0396

1061 N Coleman St
Suite 10
Prosper, TX 75078-2317
Phone (940) 365-9400

1061 N Coleman St
Suite 10
Prosper, TX 75078-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1639727290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 N PRESTON RD STE 104",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S PRESTON RD STE 104",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093895",
            "telephone_number": "972-382-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 N Coleman St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782318",
            "country_code": "US",
            "telephone_number": "469-296-1049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "KYLEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA15468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

Verify at the official NPI Registry.