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: August 02, 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
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

Accepted 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)

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.

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 6

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

Physician Assistant
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Pediatrics (Pediatric Gastroenterology)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063

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.

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 2 other insurers 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 16 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.