Individual provider Active NPI

Nikki Collins

  • Family Nurse Practitioner
  • Sulphur Springs, TX
National Provider Identifier
1811543168
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142528 Issued in TX
Practice address
105 Medical PLZ
Sulphur Springs, TX 75482-2136
Phone
(903) 885-3184
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142528 TX
Family Nurse Practitioner 363LF0000X AP142528 TX Primary

Addresses

Primary practice location

105 Medical PLZ
Sulphur Springs, TX 75482-2136

Mailing address

1401 Jennifer Cir
Sulphur Springs, TX 75482-5055

Other practice location 1

100 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 438-8330

Other practice location 2

113 Airport Rd Ste 301
Sulphur Springs, TX 75482-2198
Phone (903) 438-8330

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
I20191025000312 TX Practitioner - Nurse Practitioner 5799017661 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439

113 Airport Rd
Sulphur Springs, TX 75482-2193

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142528TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Frances Hospital Jacksonville CurrentSince Mar 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 11, 2019 Accepting new patients
Trincare Inc Current Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Mar 1, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 11, 2019 Accepting new patients

Locations

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

113 Airport Rd
Ste 301
Sulphur Springs, TX 75482
Phone (903) 438-8330

105 Medical Plz
Sulphur Springs, TX 75482
Phone (903) 885-3181

100 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 438-8330

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: ncollins146853@christushealth.direct-ci.net

Organizations & group practices 5

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1811543168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JENNIFER CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754825055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL PLZ",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822136",
            "telephone_number": "903-885-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-438-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Airport Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822198",
            "country_code": "US",
            "telephone_number": "903-438-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "NIKKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142528",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur Springs, TX

Sources for this page

Verify at the official NPI Registry.