MRS. KELSEY NICOLE BEAN FNP-C
NPI 1104750330
Nurse Practitioner - Family in Lubbock, TX
About Mrs. Kelsey Nicole Bean Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELSEY NICOLE BEAN FNP-C (NPI 1104750330) is an individual family provider in Lubbock, Texas, licensed in Texas (1243659) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelsey Nicole Bean Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelsey Bean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lubbock, TX 79410
- Reassigned Medicare billing, Texas enrollment
- 309 clinicians in this Medicare group
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 79416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelsey Bean's NPI number?
The NPI number for Kelsey Bean is 1104750330. It was assigned to this individual provider in the NPPES registry on June 11, 2026.
Where is Kelsey Bean located?
Kelsey Bean practices at 611 N Frankford Ave, Lubbock, TX 79416. The listed phone number is (806) 725-5480.
What is Kelsey Bean's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelsey Bean enrolled in Medicare?
Yes. Kelsey Bean is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelsey Bean's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Bean reassigns Medicare benefits to Covenant Medical Group (Lubbock, 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 Kelsey Bean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Bean was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Mrs. Kelsey Nicole Bean, FNP-C · NPI 1104750330
Family physician in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since June 11, 2026.
## Identity
- **NPI:** 1104750330 (Entity type: Individual)
- **Enumerated:** June 11, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1243659 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 N FRANKFORD AVE, Lubbock, TX 79416-1545
- **Phone:** (806) 725-5480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Covenant Medical Group (NPI 1376598904, Lubbock, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104750330) · Data from the CMS NPPES public registry.