KRISTIN AYDELOTTE
NPI 1710838743
Nurse Practitioner - Family in Port Arthur, TX

Q: What is Kristin Aydelotte's NPI number?

The NPI number for Kristin Aydelotte is 1710838743. It was assigned to this individual provider in the NPPES registry on February 5, 2026.

Q: What is Kristin Aydelotte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Aydelotte was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 05, 2026PECOS EnrolledAccepts Medicare Assignment

2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640(409) 724-7389 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kristin Aydelotte NPPES

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

KRISTIN AYDELOTTE (NPI 1710838743) is an individual family provider in Port Arthur, Texas, licensed in Texas (913206) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2025).

NPPES Registry Identity

NPI1710838743

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIN AYDELOTTE

Location Address2555 JIMMY JOHNSON BLVDPort Arthur, TX 77640-2007

Mailing Address29 Taft AveLumberton, TX 77657-7417

Phone(409) 724-7389

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2025

Enumeration DateFebruary 5, 2026

NPPES CertifiedFebruary 3, 2026

✔ NPI 1710838743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · 913206

2555 JIMMY JOHNSON BLVD, Port Arthur, TX 77640

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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

Kristin Aydelotte 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 ID2264916089

PECOS Enrollment IDI20260319003101

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 77640 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

$83.80 typical visit price

range $54.04 – $164.93

Typical copayment $20.95 (range $13.51 – $41.23)

Most-billed visit code 99203

Established Patient

$95.83 typical visit price

range $17.17 – $134.47

Typical copayment $23.95 (range $4.29 – $33.61)

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.

MONICA KATHLEEN LOVERDI FNP

Nurse Practitioner (Family)