Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Active since June 12, 2024PECOS Enrolled
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: July 19, 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, maintains a secondary practice location in Nashville, 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
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

Secondary Practice Location 1

Location 1424 Church St Ste 2600Nashville, TN 37219-2379 · Phone (877) 564-3627

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kendra Polizzo Dnp, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

General Practice
801 N GRAND AVE, SUITE 4
GAINESVILLE, TX 76240
Clinic/Center (Rural Health)
801 N GRAND AVE, STE 4
GAINESVILLE, TX 76240
Clinic/Center (Rural Health)
801 N GRAND AVE, SUITE 4
GAINESVILLE, TX 76240
Clinic/Center (Rural Health)
801 N GRAND AVE, SUITE 1
GAINESVILLE, TX 76240
Nurse Practitioner
801 N GRAND AVE
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Nurse Practitioner (Family)
801 N GRAND AVE
GAINESVILLE, TX 76240
Pediatrics
801 N GRAND AVE
GAINESVILLE, TX 76240

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 enrollment system.

When was this NPI record last updated?

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