Tiffany Merrill Ketzle, APRN ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP111326 Issued in TX

Practice address

6513 Preston Rd
Suite 300
Plano, TX 75024-2688

Phone

(972) 608-2025

Fax

(972) 608-2032

NPI assigned

Aug 20, 2006

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurosurgical Associates of North Texas PLLCGroup PAC ID 8921234832, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Neurosurgical Associates of North Texas PLLC

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1053744540
  Medicare reassignment Care Compare group NPD
• Acute Orthopedic Care Specialists PLLC

  • Orthopaedic Surgery Physician
  • Odessa, TX
  • NPI 1922254572
  NPD (past)
• North Texas Neurosurgical Associates

  dba Neurotrend

  • Specialist
  • Richardson, TX
  • NPI 1376636167
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1982719837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-867-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD",
            "address_2": "SUITE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242688",
            "telephone_number": "972-608-2025",
            "fax_number": "972-608-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750757738",
            "country_code": "US",
            "telephone_number": "972-566-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETZLE",
        "first_name": "TIFFANY",
        "middle_name": "MERRILL",
        "credential": "APRN ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP111326",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "681853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIFFANY.KETZLE@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3901 W 15th St",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750757738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie Kessler, M.S., CCC-SLP
• Caroline Kesterson, FNP
• Edwin Kestler, RPH
• Ketamine Health & Wellness Center of Texas
• Jeffrey Judge Ketzle, A.C.N.P.
• Craig Keuchel
• Kevin Lunde, M.D., P.a.
• Kasey Key, LPC
• Hayden Phillip Keys, DDS
• Turissa Keys

• Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.