Individual provider Active NPI

Jennifer C Kriska, CPNP

  • Pediatric Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1861709016
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP116273 Issued in TX
Practice address
2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375
Phone
(903) 572-9823
Fax
(903) 572-4812
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 645444 TX
Pediatric Nurse Practitioner 363LP0200X AP116273 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375

Mailing address

2001 N Jefferson Ave Ste 300
Mount Pleasant, TX 75455-2375
Phone (903) 572-9823

Other identifiers 1

IdentifierTypeStateIssuer
311626101MedicaidTX

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
645444TXMDPediatric Nurse Practitioner
AP116273TXMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1861709016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 300",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552375",
            "telephone_number": "903-572-9823",
            "fax_number": "903-572-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISKA",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "645444",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP116273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311626101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.