ELLISA KRUMM MD
NPI 1124105457
Family Medicine in Fort Worth, TX
About Ellisa Krumm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLISA KRUMM MD (NPI 1124105457) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (Q2699) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellisa Krumm Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellisa Krumm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 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 76104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Ellisa Krumm's NPI number?
The NPI number for Ellisa Krumm is 1124105457. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Ellisa Rausch MD.
Where is Ellisa Krumm located?
Ellisa Krumm practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1204.
What is Ellisa Krumm's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ellisa Krumm enrolled in Medicare?
Yes. Ellisa Krumm is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellisa Krumm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellisa Krumm reassigns Medicare benefits to 2 organizations: Acclaim Physician Group, Inc (Fort Worth, TX) and Concord Medical Group Of Texas PLLC (Lubbock, TX). Each 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 Ellisa Krumm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellisa Krumm accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. and Molina Healthcare list Ellisa Krumm 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 Ellisa Krumm was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Ellisa Krumm, MD · NPI 1124105457
Family Medicine physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1124105457 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** Q2699 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 702-1204
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX); Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2017
- **Other identifiers:** Medicaid 1513688 (TN); Medicare UPIN RES000 (SC); Medicare PIN 3041894 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124105457) · Data from the CMS NPPES public registry.