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KATHERINE SUMMERLIN FNP-C
NPI 1619691953
Nurse Practitioner in Mansfield, TX

Active since September 29, 2022PECOS Enrolled
1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 76063(682) 341-3910 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 21, 2025, Sep 29, 2022 (2 updates tracked since 2022).

About Katherine Summerlin Fnp-c NPPES

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

KATHERINE SUMMERLIN FNP-C (NPI 1619691953) is an individual nurse practitioner in Mansfield, Texas, licensed in Texas (1091708) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619691953
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE SUMMERLINCredential: FNP-C
Location Address1759 BROAD PARK CIR S STE 201Mansfield, TX 76063-7834
Mailing Address11807 South Fwy Ste 365Burleson, TX 76028-7045 · (817) 551-5539 · Fax (817) 568-6805
Phone(682) 341-3910
Sole ProprietorNo
Enumeration DateSeptember 29, 2022
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1619691953 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 · 1091708
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 1091708 (TX)
1759 BROAD PARK CIR S STE 201, Mansfield, TX 76063
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Summerlin 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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Summerlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Huguley Medical Associates
12 mi
General Practice
11801 SOUTH FWY
Burleson, TX 76028
  • Reassigned Medicare billing, Texas enrollment
  • 110 clinicians in this Medicare group
NPI 1629290929 (817) 568-5467

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 8

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

JEANETTE LOPEZ
Physician Assistant
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
DR. RAMY MAHMOUD MOHAMED SABE MBBCH
Pediatrics (Pediatric Gastroenterology)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
KATHRYNE LAURALEE RIVERO RN, ARPN, CPNP-PC
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
DAVY KRANG
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
MR. JACOB ROSS KNOX
Physician Assistant
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
ANJAE TARAY HOLDER
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
HARSHITA KUMAR
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
SOPHIA GABRIELA BEACHUM MD
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910

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 Katherine Summerlin's NPI number?

The NPI number for Katherine Summerlin is 1619691953. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Where is Katherine Summerlin located?

Katherine Summerlin practices at 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063. The listed phone number is (682) 341-3910.

What is Katherine Summerlin's specialty?

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

Is Katherine Summerlin enrolled in Medicare?

Yes. Katherine Summerlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Summerlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Summerlin reassigns Medicare benefits to Huguley Medical Associates (Burleson, TX). The 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 Katherine Summerlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Summerlin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Katherine Summerlin 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 Katherine Summerlin was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.