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MYSTII ELLEN KIDD PNP
NPI 1437439221
Nurse Practitioner - Primary Care in Plano, TX

Active since August 24, 2011PECOS Enrolled
4001 W 15TH ST STE 350, PLANO, TX 75093(972) 596-2131(682) 303-2031 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2022, Mar 11, 2022 (2 updates tracked since 2022).

About Mystii Ellen Kidd Pnp NPPES

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

MYSTII ELLEN KIDD PNP (NPI 1437439221) is an individual primary care provider in Plano, Texas, licensed in Texas (AP107293) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437439221
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMYSTII ELLEN KIDDCredential: PNP
Location Address4001 W 15TH ST STE 350Plano, TX 75093-5863
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113
Phone(972) 596-2131
Fax(682) 303-2031
Sole ProprietorNo
Enumeration DateAugust 24, 2011
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1437439221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in TX · AP107293
4001 W 15TH ST STE 350, Plano, TX 75093
Open in Google Maps ↗

Other Names 1

Former Name (1)Mystii Ellen Nekuza Pnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..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)

Mystii Ellen Kidd Pnp 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 75093 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.

VUONG D DAO DO
Pediatrics
4001 W 15TH ST STE 350
PLANO, TX 75093
Collin County (972) 596-2131
HANNAH CHONG TAK MD
Pediatrics
4001 W 15TH ST STE 350
PLANO, TX 75093
Collin County (972) 596-2131
DR. RUSSELL R MCDONALD M.D.
Pediatrics
4001 W 15TH ST STE 350
PLANO, TX 75093
Collin County (972) 596-2131
GREGORY DANN
Pediatrics
4001 W 15TH ST STE 350
PLANO, TX 75093
Collin County (972) 596-2131
TINA MANSHADI M.D.
Pediatrics
4001 W 15TH ST STE 350
PLANO, TX 75093
Collin County (972) 596-2131

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 Mystii Kidd's NPI number?

The NPI number for Mystii Kidd is 1437439221. It was assigned to this individual provider in the NPPES registry on August 24, 2011. The provider is also known as Mystii Ellen Nekuza Pnp.

Where is Mystii Kidd located?

Mystii Kidd practices at 4001 W 15th St Ste 350, Plano, TX 75093. The listed phone number is (972) 596-2131.

What is Mystii Kidd's specialty?

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

Is Mystii Kidd enrolled in Medicare?

Yes. Mystii Kidd is registered in the Medicare PECOS enrollment system.

What insurance does Mystii Kidd accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Mystii Kidd 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 Mystii Kidd was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.