Kelsey Ann Komechak, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP144537 Issued in TX

Practice address

2802 W Walker St
Breckenridge, TX 76424-4000

Phone

(254) 559-7215

NPI assigned

Aug 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
• Haskell Memorial Hospital Hospital, Haskell, TX, CCN 451341

Merit-based Incentive Payment System (MIPS)

Final score

78.51 of 100Reported as group

Quality

63.02

Promoting interoperability

100

Improvement activities

40

Cost

65.34

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelsey.komechahnpc.p3@direct.abileneboneandjoint.nextgenshare.com
• Direct secure messaging: kelsey.komechak.1@21794.direct.athenahealth.com

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.

• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322
  Medicare reassignment Care Compare group NPD
• Hendrick Provider Network

  dba Hendrick Rural Health Clinic San Saba

  • Rural Health Clinic/Center
  • San Saba, TX
  • NPI 1346044401
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Haskell County Hospital

  dba Haskell Memorial Hospital

  • Critical Access Hospital
  • Haskell, TX
  • NPI 1184607897
  Care Compare affiliation
• Haskell County Hospital

  dba Haskell Memorial Hospital Clinic

  • Clinic/Center
  • Haskell, TX
  • NPI 1396175683

  Hospital

  Care Compare affiliation
• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1831709161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "CLYDE",
            "state": "TX",
            "postal_code": "795100679",
            "telephone_number": "325-893-4010",
            "fax_number": "325-893-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W WALKER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "764244000",
            "telephone_number": "254-559-7215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 N Access Rd",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "TX",
            "postal_code": "795103352",
            "country_code": "US",
            "telephone_number": "325-893-4010",
            "fax_number": "325-893-4035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMECHAK",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Hare, FNP-C
• John Ellis Horner, DDS
• Josephine Sally Kelly, MAMFC MA OF MARRIAGE
• Brandie Rae Kirk, RN
• Jill L Kirk, CRT
• Clint Koshy, RPH
• Larry Len Maples, DO
• Masters Chiropractic, P.C.
• Brian Masters, D.C.
• Matthew Proctor MD PA

• Family Nurse Practitioner in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.