Individual provider Active NPI

Kay Lorraine Nelson, MD

  • Family Medicine Physician
  • Lufkin, TX
National Provider Identifier
1780636613
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P8518 Issued in TX
Practice address
10 Medical Center Blvd Ste J
Lufkin, TX 75904-3163
Phone
(936) 630-1119
Fax
(936) 632-1510
NPI assigned
May 17, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P8518 TX Primary

Addresses

Primary practice location

10 Medical Center Blvd Ste J
Lufkin, TX 75904-3163

Mailing address

10 Medical Center Blvd Ste J
Lufkin, TX 75904-3163
Phone (936) 630-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051115000638 LA Practitioner - Family Practice 0840219242
I20160720000817 TX Practitioner - Family Practice 0840219242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Texas Community Health Services IncGroup PAC ID 9830089796, 5 clinicians

Practice addresses (Care Compare)

1309 S University Dr
Nacogdoches, TX 75961-6486
Phone (936) 585-7121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Community Health Services, Inc. Family Medicine CurrentSince May 1, 2024 Accepting new patients
East Texas Community Health Services, Inc PastSince Dec 21, 2025 Accepting new patients
WK Haughton Medical Group Family Medicine PastSince May 1, 2007 Accepting new patients

Locations

1309 S University Dr
Nacogdoches, TX 75961
Phone (936) 560-5668

Interoperability endpoints

  • Direct secure messaging: knelson52@centerwell.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1780636613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE J",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-630-1119",
            "fax_number": "936-632-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL CENTER BLVD STE J",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043163",
            "telephone_number": "936-630-1119",
            "fax_number": "936-632-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KAY",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.