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ELNORA KING NURSE PRACTITIONER
NPI 1063067577
Nurse Practitioner - Psychiatric/Mental Health in Tyler, TX

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
1600 RICE RD APT 1117, TYLER, TX 75703(903) 312-2169 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2024, Aug 9, 2024, Aug 2, 2019 (3 updates tracked since 2019).

About Elnora King Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELNORA KING NURSE PRACTITIONER (NPI 1063067577) is an individual psychiatric/mental health provider in Tyler, Texas, licensed in Texas (AP141630) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063067577
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameELNORA KINGCredential: NURSE PRACTITIONER
Location Address1600 RICE RD APT 1117Tyler, TX 75703-3308
Mailing AddressPo Box 7907Tyler, TX 75711-7907 · (903) 312-2169
Phone(903) 312-2169
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 2, 2019
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1063067577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP141630
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP141630 (TX)
1600 RICE RD APT 1117, Tyler, TX 75703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elnora King Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850752593
PECOS Enrollment IDI20230727004089
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Elnora King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anderson Cherokee Community Enrichment Services
22 mi
General Practice
597 S RAGSDALE ST
Jacksonville, TX 75766
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1114761996 (903) 586-0990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elnora King's NPI number?

The NPI number for Elnora King is 1063067577. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Elnora King located?

Elnora King practices at 1600 Rice Rd Apt 1117, Tyler, TX 75703. The listed phone number is (903) 312-2169.

What is Elnora King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Elnora King enrolled in Medicare?

Yes. Elnora King is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elnora King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elnora King reassigns Medicare benefits to Anderson Cherokee Community Enrichment Services (Jacksonville, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elnora King's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elnora King accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Elnora King as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elnora King was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.