Individual provider Active NPI

Kelli Fletcher, NP

  • Family Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1811483407
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137221 Issued in TX
Practice address
1600 W College St Ste 140
Grapevine, TX 76051-3575
Phone
(214) 692-8262
Fax
(214) 696-4190
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137221 TX Primary

Addresses

Primary practice location

1600 W College St Ste 140
Grapevine, TX 76051-3575

Mailing address

3600 Gaston Ave Ste 1205
Dallas, TX 75246-1812
Phone (214) 692-8262

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
I20190201001778 TX Practitioner - Nurse Practitioner 3173860970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1631 Lancaster Dr
Suite 350
Grapevine, TX 76051-3599
Phone (214) 915-8502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC Current Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Sep 21, 2018 Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Sep 21, 2018 Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients

Locations (25 of 32)

1105 Central Expy N
Ste 230
Allen, TX 75013
Phone (469) 342-6346

4325 N Josey Ln
Ste 301
Carrollton, TX 75010
Phone (972) 492-6838

12606 Greenville Ave
Ste 160
Dallas, TX 75243
Phone (469) 364-7880

12606 Greenville Ave
Ste 185
Dallas, TX 75243
Phone (214) 739-1706

221 W Colorado Blvd
Ste 443
Dallas, TX 75208
Phone (214) 271-9971

3417 Gaston Ave
Ste 830
Dallas, TX 75246
Phone (214) 826-6235

3600 Gaston Ave
Ste 1205
Dallas, TX 75246

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

7777 Forest Ln
Ste C565
Dallas, TX 75230
Phone (972) 566-7765

8230 Walnut Hill Ln
Ste 700
Dallas, TX 75231

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

9900 N Central Expy
Ste 130
Dallas, TX 75231

3537 S Interstate 35 E
Ste 315
Denton, TX 76210
Phone (940) 382-8400

4370 Medical Arts Dr
Ste 270
Flower Mound, TX 75028
Phone (972) 394-4500

10932 N Riverside Dr
Ste 100
Fort Worth, TX 76244
Phone (214) 915-8506

4312 Heritage Trace Pkwy
Ste 700
Fort Worth, TX 76244
Phone (214) 692-6282

4401 Coit Rd
Ste 309
Frisco, TX 75035
Phone (469) 362-6543

6460 Naaman Forest Blvd
Garland, TX 75044
Phone (817) 481-0111

1600 W College St
Ste 140
Grapevine, TX 76051
Phone (817) 481-2088

1631 Lancaster Dr
Ste 350
Grapevine, TX 76051
Phone (214) 915-8502

5220 W University Dr
Ste 210
McKinney, TX 75071
Phone (469) 678-8370

5236 W University Dr
Ste 2900
McKinney, TX 75071
Phone (469) 617-6550

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

920 Highway 352
Ste 100
Mesquite, TX 75149
Phone (214) 345-8008

Interoperability endpoints

  • Direct secure messaging: kelli.fletcher.p1@direct.urologyclinics.nextgenshare.com

Organizations & group practices 4

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 2

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1811483407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE STE 1205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461812",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W COLLEGE ST STE 140",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513575",
            "telephone_number": "214-692-8262",
            "fax_number": "214-696-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "KELLI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.