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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENDRA POLIZZO DNP, APRN, FNP-C
NPI 1083456651
Nurse Practitioner - Family in Gainesville, TX

Active since June 12, 2024PECOS EnrolledAccepts Medicare Assignment
801 N GRAND AVE, GAINESVILLE, TX 76240(940) 665-4121(940) 668-0833 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, Jun 4, 2026, May 11, 2026 and 2 more (5 updates tracked since 2024).

About Kendra Polizzo Dnp, Aprn, Fnp-c NPPES

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

KENDRA POLIZZO DNP, APRN, FNP-C (NPI 1083456651) is an individual family provider in Gainesville, Texas, licensed in Texas (1179187) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083456651
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA POLIZZOCredential: DNP, APRN, FNP-C
Location Address801 N GRAND AVEGainesville, TX 76240-3573
Mailing Address801 N Grand AveGainesville, TX 76240-3573 · (940) 665-4121 · Fax (940) 668-0833
Phone(940) 665-4121
Fax(940) 668-0833
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 12, 2024
Last NPPES UpdateJuly 15, 20265 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1083456651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1179187
801 N GRAND AVE, Gainesville, TX 76240
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendra Polizzo Dnp, Aprn, Fnp-c 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 ID2769979483
PECOS Enrollment IDI20251016000718
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76240 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.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICK K KWAN M. D.
General Practice
801 N GRAND AVE, SUITE 4
GAINESVILLE, TX 76240
Cooke County (940) 665-0683
LAUREN NICOLE TAYLOR NP
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 612-8750
MR. AUSTIN HUNTINGTON SIDES FNP
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 367-5669
GAINESVILLE HOSPITAL DISTRICT
Clinic/Center (Rural Health)
801 N GRAND AVE, SUITE 1
GAINESVILLE, TX 76240
Cooke County (940) 612-8750
POLLY ANNA KLEMENT NP
Nurse Practitioner
801 N GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 612-8560
PATRICK KWAN M D P A
Clinic/Center (Rural Health)
801 N GRAND AVE, STE 4
GAINESVILLE, TX 76240
Cooke County (940) 665-0683
BETHANY CHICO
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 612-8750
VIDYA PAI MD
Pediatrics (Sleep Medicine)
801 N GRAND AVE
GAINESVILLE, TX 76240
Cooke County (940) 612-8750

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 Kendra Polizzo's NPI number?

The NPI number for Kendra Polizzo is 1083456651. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Kendra Polizzo located?

Kendra Polizzo practices at 801 N Grand Ave, Gainesville, TX 76240. The listed phone number is (940) 665-4121.

What is Kendra Polizzo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kendra Polizzo enrolled in Medicare?

Yes. Kendra Polizzo 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.

When was this NPI record last updated?

The NPPES record for Kendra Polizzo was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.