Individual provider Active NPI

Krystal Michelle Bewley, FNP

  • Family Nurse Practitioner
  • Valley View, TX
National Provider Identifier
1902199755
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
721609 Issued in TX
Practice address
909 N Frontage Rd
Valley View, TX 76272-9227
Phone
(940) 726-5750
Fax
(940) 726-5721
NPI assigned
May 25, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 721609 TX Primary

Addresses

Primary practice location

909 N Frontage Rd
Valley View, TX 76272-9227

Mailing address

909 N Frontage Rd
Valley View, TX 76272-9227
Phone (940) 726-5750

Other identifiers 1

IdentifierTypeStateIssuer
281025104MedicaidTX

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
I20110617000015 TX Practitioner - Nurse Practitioner 7810175049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Family Medical Clinic PLLCGroup PAC ID 8527340496, 4 clinicians

Practice addresses (Care Compare)

909 N Frontage Rd
Valley View, TX 76272-9227
Phone (940) 726-5750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
721609TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Family Medical Clinic, PLLC Family CurrentSince Dec 29, 2016 Accepting new patients

Locations

909 N Frontage Rd
Valley View, TX 76272
Phone (940) 726-5750

Organizations & group practices 1

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 3

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": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902199755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N FRONTAGE RD",
            "city": "VALLEY VIEW",
            "state": "TX",
            "postal_code": "762729227",
            "telephone_number": "940-726-5750",
            "fax_number": "940-726-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N FRONTAGE RD",
            "city": "VALLEY VIEW",
            "state": "TX",
            "postal_code": "762729227",
            "telephone_number": "940-726-5750",
            "fax_number": "940-726-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEWLEY",
        "first_name": "KRYSTAL",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "721609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281025104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley View, TX

Sources for this page

Verify at the official NPI Registry.