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MISS CARMISHA KELLUM APRN, FNP-C
NPI 1386001295
Nurse Practitioner in Houston, TX

Active since January 22, 2016PECOS Enrolled
1100 MERRILL ST, HOUSTON, TX 77009(713) 864-7614(713) 864-9004 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 27, 2022, Aug 24, 2021, Jan 22, 2016 (3 updates tracked since 2016).

About Miss Carmisha Kellum Aprn, Fnp-c NPPES

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

MISS CARMISHA KELLUM APRN, FNP-C (NPI 1386001295) is an individual nurse practitioner in Houston, Texas, licensed in Texas (AP128781) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1386001295
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS CARMISHA KELLUMCredential: APRN, FNP-C
Location Address1100 MERRILL STHouston, TX 77009-6009
Mailing Address25319 Holton Ridge DrKaty, TX 77494-1434 · (832) 620-6988
Phone(713) 864-7614
Fax(713) 864-9004
Sole ProprietorNo
Enumeration DateJanuary 22, 2016
Last NPPES UpdateOctober 27, 20223 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
✔ NPI 1386001295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP128781
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 769783 (TX)
1100 MERRILL ST, Houston, TX 77009
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Secondary Practice Location 1

Location 111626 T C Jester Blvd Ste 500Houston, TX 77067-1325 · Phone (832) 286-1108

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Carmisha Kellum Aprn, Fnp-c 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 77009 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

NATHALIE GARCIA
Social Worker (Clinical)
1100 MERRILL ST
HOUSTON, TX 77009
Harris County (713) 864-7614
MS. PAULA VALERIA DOMINGUEZ
Counselor (Mental Health)
1100 MERRILL ST
HOUSTON, TX 77009
Harris County (713) 984-6614
MEMORIAL HERMANN COMMUNITY BENEFIT CORPORATION
Clinic/Center (Primary Care)
1100 MERRILL ST
HOUSTON, TX 77009
Harris County (713) 864-7614
COLLEEN ROSE KIMBALL FNP-C
Nurse Practitioner (Family)
1100 MERRILL ST
HOUSTON, TX 77009
Harris County (713) 864-7614

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 Carmisha Kellum's NPI number?

The NPI number for Carmisha Kellum is 1386001295. It was assigned to this individual provider in the NPPES registry on January 22, 2016.

Where is Carmisha Kellum located?

Carmisha Kellum practices at 1100 Merrill St, Houston, TX 77009. The listed phone number is (713) 864-7614.

What is Carmisha Kellum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carmisha Kellum enrolled in Medicare?

Yes. Carmisha Kellum is registered in the Medicare PECOS enrollment system.

What insurance does Carmisha Kellum accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Carmisha Kellum 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 Carmisha Kellum was last updated on October 27, 2022. 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.