Active NPI
Michael Scott Kearney, FNP-C
- Family Nurse Practitioner
- Willis, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1176471
- Practice address
- 9516 FM 1097 Rd W Ste 140
Willis, TX 77318-4976 - Phone
- (936) 539-4004
- Fax
- (936) 224-4205
- NPI assigned
- Sep 26, 2024
- Last updated
- Jun 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1176471 | TX | Primary |
Addresses
Primary practice location
9516 FM 1097 Rd W Ste 140
Willis, TX 77318-4976
Mailing address
9516 FM 1097 Rd W Ste 140
Willis, TX 77318-4976
Phone (936) 539-4004
Other practice location 1
20125 FM 1314
Suite A
Porter, TX 77365-7490
Phone (281) 306-2102
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9516 FM 1097 Rd W
Suite 140
Willis, TX 77318-4976
Phone (936) 539-4004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1176471 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lone Star Community Health Center, Inc. | Current | Accepting new patients | |
| Lone Star Community Health Center, Inc. | Current | Accepting new patients | |
| Lone Star Community Health Center, Inc. | Past | Accepting new patients | |
| Lone Star Community Health Center, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Lone Star Community Health Center, Inc. | Past | Accepting new patients | |
| Lone Star Community Health Center, Inc. | Past | Accepting new patients |
Locations
13905 Grangerland Rd
Conroe, TX 77306
605 S Conroe Medical Dr
Conroe, TX 77304
440 Rayford Rd
Ste 150
Spring, TX 77386
9516 FM 1097 Rd W
Ste 140
Willis, TX 77318
Phone (936) 436-5540
Interoperability endpoints
- michael.kearney.1@31617.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Lone Star Family Health Center
- Family Medicine Physician
- Conroe, TX
- NPI 1568590610
-
dba Lone Star Family Health Center
- Federally Qualified Health Center (FQHC)
- Magnolia, TX
- NPI 1710857131
-
- Federally Qualified Health Center (FQHC)
- Willis, TX
- NPI 1013380708
-
dba Lone Star Family Health Center
- Federally Qualified Health Center (FQHC)
- Conroe, TX
- NPI 1326045774
Nurse Practitioner
-
dba Lone Star Family Health Center
- Federally Qualified Health Center (FQHC)
- Conroe, TX
- NPI 1679096358
-
dba Lone Star Family Health Center
- Federally Qualified Health Center (FQHC)
- Spring, TX
- NPI 1790115103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1669299947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9516 FM 1097 RD W STE 140",
"city": "WILLIS",
"state": "TX",
"postal_code": "773184976",
"telephone_number": "936-539-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9516 FM 1097 RD W STE 140",
"city": "WILLIS",
"state": "TX",
"postal_code": "773184976",
"telephone_number": "936-539-4004",
"fax_number": "936-224-4205"
}
],
"practiceLocations": [
{
"address_1": "20125 FM 1314",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Porter",
"state": "TX",
"postal_code": "773657490",
"country_code": "US",
"telephone_number": "281-306-2102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEARNEY",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-26",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1176471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.