GRETA JO KISSEL (AGACNP) – Acute Care Nurse Practitioner, NPI 1013407824

GRETA JO KISSEL (AGACNP) is a healthcare provider. based in Grapevine, Texas. specializing in Acute Care Nurse Practitioner. They hold the professional credentials AGACNP. They hold a License No. AP137179 (TX). The NPI Number for GRETA JO KISSEL (AGACNP) is 1013407824

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
GRETA JO KISSEL (AGACNP)
NPI
1013407824
Phone
(151) 549-1941
Address
1405 THISTLEWOOD LN
Enumeration Date
16 May 2018
Last Update Date
1 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4698001400
Graduation Year
2017 (9 years ago)
PAC ID
9335487644
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20190212002452
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for GRETA JO KISSEL (AGACNP)

  • 1405, Thistlewood Lane, Grapevine, Tarrant County, Texas, 76051, United States

    GRAPEVINE, TX 760514971

    Phone: (151) 549-1941

    Type: Mailing

  • 612, East Lamar Boulevard, Arlington, Tarrant County, Texas, 76011, United States

    ARLINGTON, TX 760114121

    Phone: (877) 847-9355

    Type: Location

  • 2505 SCRIPTURE ST STE 100

    DENTON, TX 762012376

    Phone: (940) 323-3655

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $2,074.

Total Amount is formed as General ($2,074) + Research ($0) + Ownership ($0) = $2,074.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ATRICURE, INC. ($1,506).

Total Amount

$2,074

General + Research + Ownership

Payments

32

Total payment records

General Amount

$2,074

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190212002452INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76051)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Critical Care (Intensivists)TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
-TX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What unique ID ties claims to GRETA JO KISSEL (AGACNP)?
NPI 1013407824 is assigned to GRETA JO KISSEL (AGACNP) under the national enumeration system.
Is GRETA JO KISSEL (AGACNP) active in the national directory?
GRETA JO KISSEL (AGACNP)'s public NPI profile is in an active state.
What kind of provider is GRETA JO KISSEL (AGACNP)?
The page reflects Acute Care Nurse Practitioner for GRETA JO KISSEL (AGACNP). Clinical services aligned with this taxonomy classification.
What location shows for GRETA JO KISSEL (AGACNP)?
We surface Grapevine, Texas for GRETA JO KISSEL (AGACNP) based on available NPPES addresses.
Is GRETA JO KISSEL (AGACNP) a real provider?
This page reflects official NPPES data for NPI 1013407824. Always confirm identity and privileges with the practice and licensing boards.

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