Individual provider Active NPI

Kathryn Jeurissen, DNP

  • Family Nurse Practitioner
  • Temple, TX
National Provider Identifier
1780335273
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1141791 Issued in TX
Practice address
3114 Sleepy Hollow LN
Temple, TX 76502-7146
Phone
(402) 540-2097
NPI assigned
Jan 16, 2022
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F349035 NY
Family Nurse Practitioner 363LF0000X 1141791 TX Primary

Addresses

Primary practice location

3114 Sleepy Hollow LN
Temple, TX 76502-7146

Mailing address

25360 County Route 16
Evans Mills, NY 13637-3104
Phone (402) 540-2097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220420001568 NY Practitioner - Nurse Practitioner 5698162741 Reassigns benefits to 1 organization
I20240104004825 TX Practitioner - Nurse Practitioner 5698162741 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

2901 4TH St
Longview, TX 75605-5128
Phone (769) 243-6141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F349035NYMDFamily Nurse Practitioner
1141791TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company CurrentSince Jan 6, 2026 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Sep 16, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 17, 2025 Accepting new patients
Global Wound Care Medical Group CurrentSince Nov 20, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 17, 2025 Accepting new patients
Family Practice Associates, P.C CurrentSince Mar 21, 2022 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Wound Management Specialists, LLC CurrentSince Jan 6, 2026 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

3 Bridge St
Ste 3
Carthage, NY 13619
Phone (315) 493-7334

2400 Augusta Dr
Ste 366
Houston, TX 77057
Phone (346) 362-5344

2400 Augusta Dr
Ste 369
Houston, TX 77057
Phone (323) 545-4007

8588 Katy Fwy
Ste 226A
Houston, TX 77024
Phone (713) 532-6884

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1780335273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25360 COUNTY ROUTE 16",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373104",
            "telephone_number": "402-540-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 SLEEPY HOLLOW LN",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765027146",
            "telephone_number": "402-540-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEURISSEN",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349035",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1141791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.