KACYE M VANN NURSE PRACTITIONER
NPI 1972187995
Nurse Practitioner in Gainesville, TX

Active since May 06, 2021
903 E BROADWAY ST, GAINESVILLE, TX 76240(940) 336-4584 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 27, 2025, Dec 11, 2024, May 6, 2021 (3 updates tracked since 2021).

About Kacye M Vann Nurse Practitioner NPPES

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

KACYE M VANN NURSE PRACTITIONER (NPI 1972187995) is a healthcare organization registered as a nurse practitioner in Gainesville, Texas and active in the NPI registry since May 2021. The organization maintains 2 additional practice locations and lists Kacye M Vann, Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1972187995
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameKACYE M VANN NURSE PRACTITIONER
Location Address903 E BROADWAY STGainesville, TX 76240-4235
Mailing Address903 E Broadway StGainesville, TX 76240-4235 · (940) 641-3440 · Fax (800) 979-3142
Organization SubpartNo
Authorized OfficialKacye M VannNurse Practitioner / Owner · (940) 641-3440
Enumeration DateMay 6, 2021
Last NPPES UpdateJune 27, 20253 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1972187995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
903 E BROADWAY ST, Gainesville, TX 76240

Secondary Practice Locations 2

Location 12024 W Highway 82Gainesville, TX 76240-2051 · Phone (940) 641-3440
Location 21615 Hospital Blvd Ste AGainesville, TX 76240-2032 · Phone (940) 641-3440 · Fax (940) 641-3553

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kacye M Vann Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20211203001846Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kacye M Vann Nurse Practitioner, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1689279374
903 E BROADWAY ST
Gainesville, TX 76240
(940) 336-4584
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kacye M Vann Nurse Practitioner's NPI number?

The NPI number for Kacye M Vann Nurse Practitioner is 1972187995. It was assigned to this organization in the NPPES registry on May 6, 2021.

Where is Kacye M Vann Nurse Practitioner located?

Kacye M Vann Nurse Practitioner is located at 903 E Broadway St, Gainesville, TX 76240. The listed phone number is (940) 336-4584.

What is Kacye M Vann Nurse Practitioner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kacye M Vann Nurse Practitioner enrolled in Medicare?

Yes. Kacye M Vann Nurse Practitioner is registered in the Medicare PECOS enrollment system.

When is Kacye M Vann Nurse Practitioner's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kacye M Vann Nurse Practitioner?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kacye M Vann Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kacye M Vann Nurse Practitioner was last updated on June 27, 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.