Active NPI
Marion Jo Kitsmiller, PA
- Physician Assistant
- Brady, TX
National Provider Identifier
1811973266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00059
- Practice address
- 2010 Nine Rd
Brady, TX 76825-7210 - Phone
- (325) 597-2114
- Fax
- (325) 597-2155
- NPI assigned
- Dec 19, 2005
- Last updated
- Sep 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00059 | TX | Primary |
Addresses
Primary practice location
2010 Nine Rd
Brady, TX 76825-7210
Mailing address
2010 Nine Rd
Brady, TX 76825-7210
Phone (325) 597-2114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00059 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontera Healthcare Network | Past | Accepting new patients |
Interoperability endpoints
- jkitsmiller@bradyhospital.securechart.com
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Mason, TX
- NPI 1235381088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1811973266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 NINE RD",
"city": "BRADY",
"state": "TX",
"postal_code": "768257210",
"telephone_number": "325-597-2114",
"fax_number": "325-597-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 NINE RD",
"city": "BRADY",
"state": "TX",
"postal_code": "768257210",
"telephone_number": "325-597-2114",
"fax_number": "325-597-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITSMILLER",
"first_name": "MARION",
"middle_name": "JO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brady, TX
- Suzanne Holubec, LBSW,IPR
- Kimberly Regina Huseman, AGACNP-BC
- Susan D. Jolliff, D.D.S.
- Alexandria Elaine Jordan, APRN, FNP-C
- Kevin Hodnett MD PLLC
- Ronald Dean Klein, D.D.S.
- Mary Lowe
- McCulloch County Hospital District
- McCulloch County Hospital District (Heart of Texas Memorial Hospital Home Medical Equipment)
- McCulloch County Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.