NICOLE KALGREN FNP
NPI 1417471566
Nurse Practitioner - Family in Mount Pleasant, TX

Q: What is Nicole Kalgren's NPI number?

The NPI number for Nicole Kalgren is 1417471566. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Q: What is Nicole Kalgren'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 Nicole Kalgren was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 31, 2017PECOS EnrolledAccepts Medicare Assignment

2001 N JEFFERSON AVE, MOUNT PLEASANT, TX 75455(903) 577-6360 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 27, 2026, Nov 11, 2025, Apr 22, 2024 and 3 more (6 updates tracked since 2017).

On this page

About Nicole Kalgren Fnp NPPES

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

NICOLE KALGREN FNP (NPI 1417471566) is an individual family provider in Mount Pleasant, Texas, licensed in Texas (AP134543) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Titus Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1417471566

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICOLE KALGRENCredential: FNP

Location Address2001 N JEFFERSON AVEMount Pleasant, TX 75455-2338

Mailing Address2001 N Jefferson AveMount Pleasant, TX 75455-2338 · (903) 434-8044

Phone(903) 577-6360

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 31, 2017

Last NPPES UpdateApril 27, 20266 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1417471566 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 · AP134543

2001 N JEFFERSON AVE, Mount Pleasant, TX 75455

Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Kalgren Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597023762

PECOS Enrollment IDI20171215001280

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 Reassignments

Medicare enrollment records show Nicole Kalgren reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Titus County Hospital District

Same address

Multi-Specialty

2001 N JEFFERSON AVE
Mount Pleasant, TX 75455

Reassigned Medicare billing, Texas enrollment
128 clinicians in this Medicare group

NPI 1063548881 (903) 577-6000

North Texas Physician Services, PLLC

49 mi

Internal Medicine

700 E MARSHALL AVE
Longview, TX 75601

Reassigned Medicare billing, Texas enrollment
334 clinicians in this Medicare group

NPI 1992586150 (903) 315-2000

Christus Trinity Clinic Texas

60 mi

Family Medicine

520 DOUGLAS BLVD
Tyler, TX 75702

Reassigned Medicare billing, Texas enrollment
2,745 clinicians in this Medicare group

NPI 1285684225 (903) 315-4119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

227 services109 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

124 services113 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

90 services84 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450080

Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier50 claims54 services$21.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier50 claims54 services$119.17 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$22.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JOEL D. CHAPMAN M.D.

Pediatrics

2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455

Titus County (903) 572-9823

MS. LINDA MARIE MCDERMOTT-GONZALEZ PNP

Nurse Practitioner (Pediatrics)

2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455

Titus County (903) 572-9823

GUADALUPE CABRERA

Nurse Practitioner (Family)

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

HUSSAIN HAIDERI M.D.

Internal Medicine (Nephrology)

2001 N JEFFERSON AVE
MT PLEASANT, TX 75455

Titus County (903) 577-6000

TITUS COUNTY HOSPITAL DISTRICT

Clinic/Center (Multi-Specialty)

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

TITUS COUNTY HOSPITAL DISTRICT

Ambulance (Land Transport)

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

CLINICAL PARTNERS - MT PLEASANT

Anesthesiology

2001 N JEFFERSON AVE
MT PLEASANT, TX 75455

Titus County (903) 663-3600

MOTHER FRANCES HOSPITAL-WINNSBORO

Psychiatric Unit

2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455

Titus County (903) 577-6000

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 Nicole Kalgren's NPI number?

The NPI number for Nicole Kalgren is 1417471566. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Nicole Kalgren located?

Nicole Kalgren practices at 2001 N Jefferson Ave, Mount Pleasant, TX 75455. The listed phone number is (903) 577-6360.

What is Nicole Kalgren's specialty?

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

Is Nicole Kalgren enrolled in Medicare?

Yes. Nicole Kalgren is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicole Kalgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kalgren reassigns Medicare benefits to 3 organizations: Titus County Hospital District (Mount Pleasant, TX), North Texas Physician Services, PLLC (Longview, TX) and Christus Trinity Clinic Texas (Tyler, 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 Nicole Kalgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Kalgren accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Nicole Kalgren 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.

Is Nicole Kalgren affiliated with any hospitals?

According to CMS data, Nicole Kalgren is affiliated with Titus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Kalgren was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.