MARY CAROL KISTNER CPNP
NPI 1174787345
Nurse Practitioner - Primary Care in Fort Worth, TX

Q: What is Mary Kistner's NPI number?

The NPI number for Mary Kistner is 1174787345. It was assigned to this individual provider in the NPPES registry on July 16, 2008.

Q: What is Mary Kistner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kistner was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 16, 2008PECOS Enrolled

1401 W PULASKI ST, FORT WORTH, TX 76104(682) 885-8012(682) 885-8014 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Apr 19, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2016).

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About Mary Carol Kistner Cpnp NPPES

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

MARY CAROL KISTNER CPNP (NPI 1174787345) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP117015) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174787345

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARY CAROL KISTNERCredential: CPNP

Location Address1401 W PULASKI STFort Worth, TX 76104-2717

Mailing AddressPo Box 99213Fort Worth, TX 76199-0213 · (682) 885-1860 · Fax (682) 885-1396

Phone(682) 885-8012

Fax(682) 885-8014

Sole ProprietorNo

Enumeration DateJuly 16, 2008

Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1174787345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TX · AP117015

Also ListedRegistered NurseTaxonomy 163W00000X · License 505410 (TX)

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP117015 (TX)

1401 W PULASKI ST, Fort Worth, TX 76104

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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 (PECOS)

Mary Carol Kistner Cpnp 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.

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.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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 20

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

HINA AZIZ REHMAN MD

Pediatrics