Individual provider Active NPI

Dorian Frackelton, CRNP

  • Family Nurse Practitioner
  • Leander, TX
National Provider Identifier
1881823698
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136072 Issued in TX
Practice address
320 Kingfisher LN Ste 100
Leander, TX 78641-2689
Phone
(512) 848-9357
Fax
(410) 933-8106
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP136072 TX Primary

Addresses

Primary practice location

320 Kingfisher LN Ste 100
Leander, TX 78641-2689

Mailing address

12809 Medina River Way
Austin, TX 78732-2277
Phone (443) 226-5597

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
I20180823003144 TX Practitioner - Nurse Practitioner 7719128032 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries LLC CurrentSince Apr 7, 2018 Accepting new patients
MNR Industries, LLC Current Accepting new patients
Travis County Emergency Physicians PA CurrentSince Oct 31, 2022 Accepting new patients
MNR Industries LLC Current Accepting new patients
H & F Urgent Care and Family Medicine CurrentSince May 9, 2023 Accepting new patients
Freedom Urgent Care PLLC PastSince Aug 3, 2020 Accepting new patients
Medspring of Texas, PA Past Accepting new patients

Locations

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1881823698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12809 MEDINA RIVER WAY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787322277",
            "telephone_number": "443-226-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGFISHER LN STE 100",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412689",
            "telephone_number": "512-848-9357",
            "fax_number": "410-933-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACKELTON",
        "first_name": "DORIAN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

Verify at the official NPI Registry.