Individual provider Active NPI

Anthonette Rose Felkins, FNP BC

  • Family Nurse Practitioner
  • Victoria, TX
National Provider Identifier
1851656185
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
147784 Issued in TX
Practice address
9410 NE Zac Lentz Pkwy Ste 300
Victoria, TX 77904-3172
Phone
(361) 575-4524
Fax
(361) 575-4534
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147784 TX
Family Nurse Practitioner 363LF0000X 147784 TX Primary

Addresses

Primary practice location

9410 NE Zac Lentz Pkwy Ste 300
Victoria, TX 77904-3172

Mailing address

4747 Bellaire Blvd
Ste 101
Bellaire, TX 77401-4515
Phone (713) 622-1700

Other practice location 1

1414 Green Oak Terrace Ct Ste 200
Kingwood, TX 77339-2960
Phone (713) 622-1700

Other practice location 2

4747 Bellaire Blvd Ste 101
Bellaire, TX 77401-4515
Phone (713) 622-1700

Other names 1

  • Mrs. Anthonette Rose Felkins Professional name

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
I20140619001053 TX Practitioner - Nurse Practitioner 1254555915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Houston Interventional Pain AssociatesGroup PAC ID 5395783260, 6 clinicians

Practice addresses (Care Compare)

4747 Bellaire Blvd
Suite 101
Bellaire, TX 77401-4515
Phone (713) 622-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147784TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Medical Center County of Victoria Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ghipa.anthonettefelkins@136390.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1851656185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD",
            "address_2": "STE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014515",
            "telephone_number": "713-622-1700",
            "fax_number": "713-877-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 NE ZAC LENTZ PKWY STE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043172",
            "telephone_number": "361-575-4524",
            "fax_number": "361-575-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Green Oak Terrace Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392960",
            "country_code": "US",
            "telephone_number": "713-622-1700",
            "fax_number": "713-877-0672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4747 Bellaire Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014515",
            "country_code": "US",
            "telephone_number": "713-622-1700",
            "fax_number": "713-622-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELKINS",
        "first_name": "ANTHONETTE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "147784",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "147784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONETTE",
            "last_name": "FELKINS",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "RN FNP BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.