KELLY L NEWSOME PNP
NPI 1639364409
Nurse Practitioner - Pediatrics in Sulphur Springs, TX
About Kelly L Newsome Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY L NEWSOME PNP (NPI 1639364409) is an individual pediatrics provider in Sulphur Springs, Texas, licensed in Texas (688654) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly L Newsome Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Newsome reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 clinicians in this Medicare group
Tyler, TX 75701
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Jacksonville, TX 75766
- Reassigned Medicare billing, Texas enrollment
- 409 clinicians in this Medicare group
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 75482 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Newsome's NPI number?
The NPI number for Kelly Newsome is 1639364409. It was assigned to this individual provider in the NPPES registry on September 13, 2007. The provider is also known as Kelly L Newcomb.
Where is Kelly Newsome located?
Kelly Newsome practices at 105 Medical Plz, Sulphur Springs, TX 75482. The listed phone number is (903) 885-5439.
What is Kelly Newsome's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kelly Newsome enrolled in Medicare?
Yes. Kelly Newsome is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Newsome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Newsome reassigns Medicare benefits to 3 organizations: Christus Trinity Clinic Texas (Tyler, TX), Mother Frances Hospital Regional Health Care Center (Tyler, TX) and Mother Frances Hospital Jacksonville (Jacksonville, 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 Kelly Newsome's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Newsome accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Kelly Newsome 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 Kelly Newsome was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kelly L Newsome, PNP · NPI 1639364409
Pediatrics physician in Sulphur Springs, Texas. Individual provider, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1639364409 (Entity type: Individual)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 688654 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 105 MEDICAL PLZ, Sulphur Springs, TX 75482-2136
- **Phone:** (903) 885-5439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX); Mother Frances Hospital Regional Health Care Center (NPI 1679578439, Tyler, TX); Mother Frances Hospital Jacksonville (NPI 1952306672, Jacksonville, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2015
- **Other identifiers:** Medicaid 206333102 (TX); Medicare PIN 350528YLZN (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1639364409) · Data from the CMS NPPES public registry.