Active NPI
Tri-County Family Medicine PLLC
- Family Medicine Physician
- Gun Barrel City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRI-COUNTY FAMILY MEDICINE PLLC
- Practice address
- 126 W Main St Ste C
Gun Barrel City, TX 75156-5404 - Phone
- (903) 887-1092
- NPI assigned
- Jul 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Nell Kilcrease, FNP
- Title
- Owner
- Phone
- (903) 887-1092
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Mailing address
126 W Main St Ste C
Gun Barrel City, TX 75156-5404
Phone (903) 887-1092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200727003347 | TX | Part B Supplier - Clinic/Group Practice | 1850715558 |
Receives reassigned benefits from 4 practitioners Practice locations: Gun Barrel City, TX |
| O20230120002316 | TX | DME Supplier - Nurse Practitioner | 1850715558 | Practice locations: Gun Barrel City, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2263286 | Tri-County Family Medicine | Certificate of waiver | Jun 26, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tri-County Family Medicine PLLC | Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
126 W Main St
Ste C
Gun Barrel City, TX 75156
Phone (214) 912-0616
125 W Main St
Ste C
Gun Barrel City, TX 75156
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IADGDD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Gun Barrel City, TX
- NPI 1881468486
Primary Care, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769990400000",
"number": "1780201053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 W MAIN ST STE C",
"city": "GUN BARREL CITY",
"state": "TX",
"postal_code": "751565404",
"telephone_number": "903-887-1092",
"fax_number": "903-887-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 W MAIN ST STE C",
"city": "GUN BARREL CITY",
"state": "TX",
"postal_code": "751565404",
"telephone_number": "903-887-1092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A",
"authorized_official_last_name": "KILCREASE",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "NELL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-887-1092",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gun Barrel City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.