Kaye Puckett, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Bridgeport, TX
NPI 1851046007 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1851046007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1069872 (TX)
- Practice address
- 2202 US Highway 380 Ste 112
Bridgeport, TX 76426-2177 - Phone
- (940) 683-2338
- Fax
- (940) 683-2394
- NPI assigned
- Feb 16, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Independent Physicians Group Inc
Practice addresses (Care Compare)
2202 US Hwy 380
Suite 112
Bridgeport, TX 76426-2177
Phone (940) 442-5209
Hospital & facility affiliations
- Angels Care Home Health
- Medical City Denton
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220505000942 | TX | Practitioner - Nurse Practitioner | 9931596202 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1069872 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Hospital Authority | Current | Accepting new patients | |
| Wise Clinical Care Associates | Family | Current |
Accepting new patients |
| Leeroy McCurley MD PA | Current | Accepting new patients | |
| Premier Independent Physicians Group, Inc. | Current |
Accepting new patients | |
| North Texas Arrhythmia Associates PA | Past | Accepting new patients | |
| Pilot Point Family Practice Management Inc. | Past | Accepting new patients |
Locations
133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151
2202 US Highway 380
Ste 112
Bridgeport, TX 76426
Phone (940) 683-2338
2301 S FM 51
Ste 100
Decatur, TX 76234
Phone (817) 674-7494
2014 Ben Merritt Dr
Ste B
Decatur, TX 76234
Phone (940) 626-2962
1512 Teasley Ln
Denton, TX 76205
Phone (940) 566-5010
309 Westpark Way
Ste 309
Euless, TX 76040
315 Westpark Way
Euless, TX 76040
Phone (817) 267-0550
3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686
1246 S Highway 377
Ste C
Pilot Point, TX 76258
Phone (940) 686-2254
Interoperability endpoints
- kayer.puckett@premier.emedpractice.direct-ci.com
- kaye.puckett@hca7.eclinicaldirectplus.com
- kayepuckett@wise.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1069872 | TX | Yes |
Addresses
Primary practice location
2202 US Highway 380 Ste 112
Bridgeport, TX 76426-2177
Mailing address
1512 Teasley LN
Denton, TX 76205-7282
Phone (940) 442-5209
Other practice location 1
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Phone (888) 731-8994
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851046007 | Medicaid | TX | |
| 8RH312 | Other | TX | BCBS OF TEXAS |
Other providers in Bridgeport, TX
- William Newsom
- Brenda Norwood
- Natalie Palacios
- Alexander Lee Pendergrass
- PMG Opco-Bridgeport LLC
- David A. Ray
- Rcast Partners
- Brian James Richard
- Rooted Physical Therapy, LLC
- Jeanette Rowe-Thomas
All providers in Bridgeport, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.