Kelsey Nicole Newton, APRN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Van, TX

NPI 1831706530 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1831706530
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
1094943 (TX)
Practice address
488 W Main St Ste 101
Van, TX 75790-2608
Phone
(903) 963-6850
NPI assigned
Sep 26, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
953026TXMDAmbulatory Care Registered Nurse
1094943TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Van Family Medical Family Current
since Jun 16, 2024
Accepting new patients
Medstop Clinic Past
since Jun 16, 2024
Accepting new patients

Locations

488 W Main St
Ste 101
Van, TX 75790
Phone (903) 963-2233

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 953026 TX
Family Nurse Practitioner 363LF0000X 1094943 TX Yes

Addresses

Primary practice location

488 W Main St Ste 101
Van, TX 75790-2608

Mailing address

488 W Main St Ste 101
Van, TX 75790-2608
Phone (903) 570-1129

Other practice location 1

714 Turtle Creek Dr
Tyler, TX 75701-1833
Phone (903) 595-4333

Other providers in Van, TX

All providers in Van, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.