Individual provider Active NPI

Aubrey Beth Kinross, FNP-C

  • Family Nurse Practitioner
  • Canyon, TX
National Provider Identifier
1659236941
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1220503 Issued in TX
Practice address
911 23Rd St
Canyon, TX 79015-4645
Phone
(806) 655-2104
NPI assigned
Dec 18, 2025
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 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 1220503 TX Primary

Addresses

Primary practice location

911 23Rd St
Canyon, TX 79015-4645

Mailing address

911 23Rd St
Canyon, TX 79015-4645
Phone (806) 655-2104

Other names 1

  • Aubrey Beth Kelley Former 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
I20260127002241 TX Practitioner - Nurse Practitioner 8123505609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2501 Lakeview Dr
Amarillo, TX 79109-1531

911 23Rd St
Canyon, TX 79015-4645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1220503TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. Family CurrentSince Jan 1, 2026 Accepting new patients

Locations

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

911 23rd St
Canyon, TX 79015
Phone (806) 353-6400

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

Hospital & facility affiliations 1

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": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1659236941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 23RD ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790154645",
            "telephone_number": "806-655-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINROSS",
        "first_name": "AUBREY",
        "middle_name": "BETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1220503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "KELLEY",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canyon, TX

Sources for this page

Verify at the official NPI Registry.