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KELBY NIXON DO
NPI 1720874043
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since April 15, 2025PECOS Enrolled
3900 UNIVERSITY BLVD, TYLER, TX 75799(903) 566-7000 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelby Nixon Do NPPES

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

KELBY NIXON DO (NPI 1720874043) is an individual student in an organized health care education/training program in Tyler, Texas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720874043
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKELBY NIXONCredential: DO
Location Address3900 UNIVERSITY BLVDTyler, TX 75799-6600
Mailing Address4055 Hogan Dr Apt 3707Tyler, TX 75709-6964 · (903) 372-3275
Phone(903) 566-7000
Sole ProprietorNo
Enumeration DateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1720874043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3900 UNIVERSITY BLVD, Tyler, TX 75799
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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 (PECOS)

Kelby Nixon Do 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.

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.

KYLIE MCNABB
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
ANETTA NINAN
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
STEPHEN CAGE M.ED, ATC, LAT
Specialist/Technologist (Athletic Trainer)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (830) 305-0317
RACHEL KOSHY
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
KACY COMBEST MS
Counselor (Mental Health)
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 566-7180
LANNA WAITHE
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
MRS. BELINDA CORONADO
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (903) 565-5777
LAETITIA SORELA NJOME TCHAPTCHET
Student in an Organized Health Care Education/Training Program
3900 UNIVERSITY BLVD
TYLER, TX 75799
Smith County (432) 210-0820

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 Kelby Nixon's NPI number?

The NPI number for Kelby Nixon is 1720874043. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Kelby Nixon located?

Kelby Nixon practices at 3900 University Blvd, Tyler, TX 75799. The listed phone number is (903) 566-7000.

What is Kelby Nixon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kelby Nixon enrolled in Medicare?

Yes. Kelby Nixon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelby Nixon was last updated on April 15, 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.