Individual provider Active NPI

Esther Gayle Ferrell, FNP-BC

  • Family Nurse Practitioner
  • Kilgore, TX
National Provider Identifier
1992161798
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129898 Issued in TX
Practice address
1016 N Kilgore St
Kilgore, TX 75662-6054
Phone
(903) 522-4199
NPI assigned
Jan 8, 2016
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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 AP129898 TX Primary

Addresses

Primary practice location

1016 N Kilgore St
Kilgore, TX 75662-6054

Mailing address

PO Box 1022
Waynesboro, TN 38485-1022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address esther.ferrell.1@16432.direct.athenahealth.com

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
I20160122000764 TX Practitioner - Nurse Practitioner 5991008039 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care TX PLLC CurrentSince Nov 1, 2021 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Nov 1, 2021 Accepting new patients
East Texas Border Health Clinic Past Accepting new patients
Phynet, Inc. PastSince Aug 16, 2016 Accepting new patients

Locations

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

1016 N Kilgore St
Kilgore, TX 75662
Phone (903) 522-4199

Organizations & group practices 4

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": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1992161798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N KILGORE ST",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756626054",
            "telephone_number": "903-522-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "ESTHER",
        "middle_name": "GAYLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esther.ferrell.1@16432.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "address_1": "1761 W Loop 281",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756042734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kilgore, TX

Sources for this page

Verify at the official NPI Registry.