Kristal Lyn Simmons, FNP
Individual provider Active NPI Pediatric Nurse Practitioner · Lubbock, TX
NPI 1871124107 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1871124107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- AP144805 (TX)
- Practice address
- 1307 Martin Luther King Blvd
Lubbock, TX 79403-5329 - Phone
- (806) 749-3800
- Fax
- (806) 749-3802
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Group
Practice addresses (Care Compare)
7601 Quaker Ave
Lubbock, TX 79424-3360
Phone (806) 725-9444
Hospital & facility affiliations
- Covenant Medical Center
- Grace Surgical Hospital
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 |
|---|---|---|---|---|
| I20210505001584 | TX | Practitioner - Nurse Practitioner | 4688083579 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP1444805 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Group | Current |
Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current |
Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current |
Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Covenant Medical Group | Current |
Accepting new patients | |
| Lubbock Children'S Health Clinic | Past |
Accepting new patients |
Locations
3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188
2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
7601 Quaker Ave
Lubbock, TX 79424
Phone (806) 725-9444
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kristal.settle@direct.myteamcare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1444805 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP144805 | TX | Yes |
Addresses
Primary practice location
1307 Martin Luther King Blvd
Lubbock, TX 79403-5329
Mailing address
805 N 17TH PL
Slaton, TX 79364-3100
Phone (806) 746-7519
Other names
- Kristal Lyn Settle
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lubbock | Health Information Exchange (HIE) | |
| Direct Messaging Address | kristal.settle@direct.myteamcare.com |
Other providers in Lubbock, TX
- Robert Simek
- Hannah Lynn Simental
- Maybin Simfukwe
- Elaine Simko
- Gary Edward Simmons
- Summer Simmons
- Bryan S. Simpson
- Jordan Brent Simpson
- Sarah Simpson
- Terrell Brent Simpson
All providers in Lubbock, TX · Pediatric 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 Dec 3, 2021. 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.