Individual provider Active NPI

Kristen Charmaine Eusebe, NP-C

  • Gerontology Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1699550582
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1123827 Issued in TX
Practice address
3555 W Wheatland Rd
Dallas, TX 75237-3461
Phone
(972) 709-2580
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1123827 TX Primary

Addresses

Primary practice location

3555 W Wheatland Rd
Dallas, TX 75237-3461

Mailing address

11411 Luna Rd Apt 18201
Farmers Branch, TX 75234-9469
Phone (940) 337-5851

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
I20231003004034 TX Practitioner - Nurse Practitioner 6204280654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

3555 W Wheatland Rd
Dallas, TX 75237-3461
Phone (972) 709-2580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Sep 18, 2023 Accepting new patients
Texas Oncology PA Current Accepting new patients

Locations

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

3555 W Wheatland Rd
Dallas, TX 75237
Phone (972) 709-2580

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

979 Don Floyd Dr
Ste 104
Midlothian, TX 76065
Phone (972) 723-7400

151 Rvg Pkwy
#100
Waxahachie, TX 75165
Phone (469) 848-7070

Interoperability endpoints

  • Direct secure messaging: kristen.eusebe@txo.ikm.direct-ci.com

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1699550582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 LUNA RD APT 18201",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752349469",
            "telephone_number": "940-337-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W WHEATLAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373461",
            "telephone_number": "972-709-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSEBE",
        "first_name": "KRISTEN",
        "middle_name": "CHARMAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1123827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.