DR. KRISTIN MEYERTHOLEN FAVELA M.D.
NPI 1679833057
Pediatrics - Pediatric Endocrinology in Fort Worth, TX
About Dr. Kristin Meyertholen Favela M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTIN MEYERTHOLEN FAVELA M.D. (NPI 1679833057) is an individual pediatric endocrinology provider in Fort Worth, Texas, licensed in Texas (S2770) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2012).
NPPES Registry Identity
Specialties & Licenses 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 and accepts Medicare assignment
Dr. Kristin Meyertholen Favela M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kristin Favela reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Cook Childrens Physician Network
- 1,186 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 76104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Kristin Favela's NPI number?
The NPI number for Kristin Favela is 1679833057. It was assigned to this individual provider in the NPPES registry on May 21, 2012.
Where is Kristin Favela located?
Kristin Favela practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-7960.
What is Kristin Favela's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Kristin Favela enrolled in Medicare?
Yes. Kristin Favela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristin Favela's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Favela reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, 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 Kristin Favela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Favela accept?
Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Kristin Favela 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 Kristin Favela was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Kristin Meyertholen Favela, M.D. · NPI 1679833057
Pediatric Endocrinology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 21, 2012.
## Identity
- **NPI:** 1679833057 (Entity type: Individual)
- **Enumerated:** May 21, 2012
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** S2770 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 COOPER ST, Fort Worth, TX 76104-2710
- **Phone:** (682) 885-7960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cook Children's Physician Network (NPI 1548230923, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2012
## Record status
- **NPPES last updated:** April 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679833057) · Data from the CMS NPPES public registry.