Individual provider Active NPI

Kacye Michelle Vann, FNP-C

  • Family Nurse Practitioner
  • Gainesville, TX
National Provider Identifier
1689279374
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1018953 Issued in TX
Practice address
903 E Broadway St
Gainesville, TX 76240-4235
Phone
(940) 336-4584
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X
Family Nurse Practitioner 363LF0000X 1018953 TX Primary

Addresses

Primary practice location

903 E Broadway St
Gainesville, TX 76240-4235

Mailing address

PO Box 308
Valley View, TX 76272-0308
Phone (940) 736-5317

Other practice location 1

2024 W Highway 82
Gainesville, TX 76240-2051
Phone (940) 641-3440

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
I20210303001355 TX Practitioner - Nurse Practitioner 0749696508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

903 E Broadway St
Gainesville, TX 76240-4235
Phone (940) 336-4584

Hospital & facility affiliations

  • North Texas Medical Center Hospital, Gainesville, TX, CCN 450090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1018953TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kacye M Vann Nurse Practitioner Nutritionist CurrentSince Oct 25, 2021 Accepting new patients
North Texas Nutrition & Wellness Nutritionist CurrentSince Feb 15, 2025 Accepting new patients

Locations

1615 Hospital Blvd
Ste A
Gainesville, TX 76240
Phone (940) 612-8960

903 E Broadway St
Gainesville, TX 76240
Phone (940) 336-4584

2024 W Highway 82
Gainesville, TX 76240
Phone (940) 612-8760

Organizations & group practices 2

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 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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1689279374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "VALLEY VIEW",
            "state": "TX",
            "postal_code": "762720308",
            "telephone_number": "940-736-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E BROADWAY ST",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762404235",
            "telephone_number": "940-336-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2024 W Highway 82",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "TX",
            "postal_code": "762402051",
            "country_code": "US",
            "telephone_number": "940-641-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "KACYE",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

Verify at the official NPI Registry.