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MISS KRISTA RAE NIEMEYER APN
NPI 1124396833
Nurse Practitioner - Pediatrics in Texarkana, TX

Active since December 08, 2011PECOS Enrolled
1411 COLLEGE DR, TEXARKANA, TX 75503(903) 791-1110(903) 794-2979 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Jul 7, 2022, May 12, 2020 and 1 more (4 updates tracked since 2016).

About Miss Krista Rae Niemeyer Apn NPPES

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

MISS KRISTA RAE NIEMEYER APN (NPI 1124396833) is an individual pediatrics provider in Texarkana, Texas, licensed in Texas (AP122976) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124396833
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMISS KRISTA RAE NIEMEYERCredential: APN
Location Address1411 COLLEGE DRTexarkana, TX 75503-3533
Mailing Address1400 College Dr Ste 204Texarkana, TX 75503-3575 · (903) 791-1110 · Fax (903) 794-2979
Phone(903) 791-1110
Fax(903) 794-2979
Sole ProprietorNo
Enumeration DateDecember 8, 2011
Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1124396833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · AP122976
1411 COLLEGE DR, Texarkana, TX 75503
Open in Google Maps ↗

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 (PECOS)

Miss Krista Rae Niemeyer Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Krista Niemeyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Texas Border Health Clinic
Same address
Federally Qualified Health Center (FQHC)
1411 COLLEGE DR
Texarkana, TX 75503
  • Reassigned Medicare billing, Texas and Arkansas enrollments
  • Also billed through NPI 1093186249 (Arkansas)
  • 51 clinicians in this Medicare group
NPI 1598366718 (903) 791-1110

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 75503 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 4

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

DEBRA SHANELLE WRIGHT-BOWERS M.D.
Pediatrics
1411 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
EAST TEXAS BORDER HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1411 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
AMANDA SMITH APRN
Nurse Practitioner (Family)
1411 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
MIKALA BROOKE ANDERSON DO
Pediatrics
1411 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110

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 Krista Niemeyer's NPI number?

The NPI number for Krista Niemeyer is 1124396833. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Krista Niemeyer located?

Krista Niemeyer practices at 1411 College Dr, Texarkana, TX 75503. The listed phone number is (903) 791-1110.

What is Krista Niemeyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Krista Niemeyer enrolled in Medicare?

Yes. Krista Niemeyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krista Niemeyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Niemeyer reassigns Medicare benefits to East Texas Border Health Clinic (Texarkana, 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 Krista Niemeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krista Niemeyer accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Krista Niemeyer 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 Krista Niemeyer was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.