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FRISTANTO KURNIAWAN MSN, RN, AGACNP-BC
NPI 1821600487
Nurse Practitioner - Acute Care in Shenandoah, TX

Active since August 17, 2020PECOS Enrolled
9250 PINECROFT DR, SHENANDOAH, TX 77380(713) 897-2300 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2022, Aug 17, 2020 (2 updates tracked since 2020).

About Fristanto Kurniawan Msn, Rn, Agacnp-bc NPPES

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

FRISTANTO KURNIAWAN MSN, RN, AGACNP-BC (NPI 1821600487) is an individual acute care provider in Shenandoah, Texas, licensed in Texas (1006744) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821600487
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameFRISTANTO KURNIAWANCredential: MSN, RN, AGACNP-BC
Location Address9250 PINECROFT DRShenandoah, TX 77380-3218
Mailing Address1111 Medical Plaza Dr Ste 250The Woodlands, TX 77380-3477 · (281) 296-8788
Phone(713) 897-2300
Sole ProprietorNo
Enumeration DateAugust 17, 2020
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1821600487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1006744
9250 PINECROFT DR, Shenandoah, TX 77380
Open in Google Maps ↗

Secondary Practice Locations 2

Location 117201 I 45 SShenandoah, TX 77385-3311 · Phone (936) 270-2000
Location 217200 St Lukes WayThe Woodlands, TX 77384-8007 · Phone (936) 288-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.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)

Fristanto Kurniawan Msn, Rn, Agacnp-bc 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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
218 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
173 services99 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

MRS. RONIA J KHOURI AGACNP-BC, FNP-C
Nurse Practitioner
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2300
STEPHANIE LYN TACKETT PTA
Physical Therapy Assistant
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 303-0252
CHRIS JOSEPH HONG MD
Emergency Medicine
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2300
JEAN HANES ENP
Nurse Practitioner
9250 PINECROFT DR
THE WOODLANDS, TX 77380
Montgomery County (281) 364-2300
DR. JESSICA KAY PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9250 PINECROFT DR, DEPARTMENT OF PHARMACY
SHENANDOAH, TX 77380
Montgomery County (713) 897-7649
FRANGEL ARIAS SANCHEZ MD
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2300
MUAAMAR BALDAWI DO
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2307
YASMIN ALWASH MD
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2307

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 Fristanto Kurniawan's NPI number?

The NPI number for Fristanto Kurniawan is 1821600487. It was assigned to this individual provider in the NPPES registry on August 17, 2020.

Where is Fristanto Kurniawan located?

Fristanto Kurniawan practices at 9250 Pinecroft Dr, Shenandoah, TX 77380. The listed phone number is (713) 897-2300.

What is Fristanto Kurniawan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Fristanto Kurniawan enrolled in Medicare?

Yes. Fristanto Kurniawan is registered in the Medicare PECOS enrollment system.

What insurance does Fristanto Kurniawan accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Fristanto Kurniawan 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 Fristanto Kurniawan was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.