KAYLA RENNER
NPI 1215403076
Nurse Practitioner - Family in Bryan, TX

Q: What is Kayla Renner's NPI number?

The NPI number for Kayla Renner is 1215403076. It was assigned to this individual provider in the NPPES registry on October 19, 2018.

Q: What is Kayla Renner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Renner was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 October 19, 2018PECOS Enrolled

2011 E VILLA MARIA RD, BRYAN, TX 77802(979) 731-1676(979) 774-6305 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2020, Oct 19, 2018 (2 updates tracked since 2018).

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About Kayla Renner NPPES

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

KAYLA RENNER (NPI 1215403076) is an individual family provider in Bryan, Texas, licensed in Texas (AP139127) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215403076

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKAYLA RENNER

Location Address2011 E VILLA MARIA RDBryan, TX 77802-2541

Mailing Address2011 E Villa Maria RdBryan, TX 77802-2541 · (979) 731-1676 · Fax (979) 774-6305

Phone(979) 731-1676

Fax(979) 774-6305

Sole ProprietorNo

Enumeration DateOctober 19, 2018

Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration

✔ NPI 1215403076 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 · AP139127

2011 E VILLA MARIA RD, Bryan, TX 77802

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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)

Kayla Renner 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 77802 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 5

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

ROBYN LEE LUNA FNP

Nurse Practitioner