KANSAS MARIE ST CLAIR FNP
NPI 1457791824
Nurse Practitioner - Family in Lubbock, TX

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since July 01, 2013PECOS EnrolledAccepts Medicare Assignment

3419 22ND ST, LUBBOCK, TX 79410(806) 796-3000(806) 796-3006 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2021, Dec 16, 2021 (2 updates tracked since 2021).

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About Kansas Marie St Clair Fnp NPPES

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

KANSAS MARIE ST CLAIR FNP (NPI 1457791824) is an individual family provider in Lubbock, Texas, licensed in Texas (AP123878) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457791824

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKANSAS MARIE ST CLAIRCredential: FNP

Location Address3419 22ND STLubbock, TX 79410-1334

Mailing Address3419 22nd StLubbock, TX 79410-1334 · (806) 796-3000 · Fax (806) 796-3006

Phone(806) 796-3000

Fax(806) 796-3006

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 1, 2013

Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2024

✔ NPI 1457791824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP123878

Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License 702520 (TX)

3419 22ND ST, Lubbock, TX 79410

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Other Identifiers 5

Other1T9764TX · Medicare

Medicaid331227403TX

Other8QC171TX · Bcbs

Other1457791824NM · Bcbs

Medicaid66058546NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kansas Marie St Clair 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 ID7113161936

PECOS Enrollment IDI20130918000212

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

223 services200 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

65 services60 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

24 services22 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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 20

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

LUBBOCK ADVANCED DIGITAL IMAGING, INC.

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

3419 22ND ST, SUITE B
LUBBOCK, TX 79410

Lubbock County (806) 793-5421

DR. BOLKAR E SAHINLER MD.

Pain Medicine (Interventional Pain Medicine)