Individual provider Active NPI

Amy Ellizabeth Bagley-Krenek, FNP

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1972032670
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134104 Issued in TX
Practice address
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone
(936) 569-9481
NPI assigned
Jun 6, 2017
Last updated
Jun 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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 AP134104 TX Primary

Addresses

Primary practice location

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254

Mailing address

839 County Road 3271 W
Mt Enterprise, TX 75681-6883
Phone (903) 822-3025

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
I20170816000392 TX Practitioner - Nurse Practitioner 4486926128 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians
Angelina Emergency Medicine Associates PAGroup PAC ID 5395973564, 18 clinicians

Practice addresses (Care Compare)

260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747

4500 E Sam Houston Pkwy S
CHI St Lukes Health Patients Medi
Pasadena, TX 77505-3959
Phone (713) 948-7000

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481

505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 637-8567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134104TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Emergency Medicine Associates PA CurrentSince Sep 4, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince May 7, 2025 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Oct 1, 2021 Accepting new patients
Travis County Emergency Physicians PA CurrentSince May 7, 2025 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Camino Real Emergency Physicians PLLC Past Accepting new patients

Locations

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

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

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

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

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

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

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

4500 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 487-2786

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

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

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1972032670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 COUNTY ROAD 3271 W",
            "city": "MT ENTERPRISE",
            "state": "TX",
            "postal_code": "756816883",
            "telephone_number": "903-822-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651254",
            "telephone_number": "936-569-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY-KRENEK",
        "first_name": "AMY",
        "middle_name": "ELLIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.