KELLY JEAN FOX (FNP) – Family Nurse Practitioner, NPI 1225214505

KELLY JEAN FOX (FNP) is a healthcare provider. based in Copper canyon, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 582397 (TX). The NPI Number for KELLY JEAN FOX (FNP) is 1225214505

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JEAN FOX (FNP)
NPI
1225214505
Phone
(817) 685-2598
Address
825 ESTATES DR
Enumeration Date
16 January 2008
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2149023400
Graduation Year
1998 (28 years ago)
PAC ID
9537316195
Group Practice PAC ID
0749610681
Professional Enrollment ID
I20120904000611
Address ID
TX750341102FR3800XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:18State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KELLY JEAN FOX (FNP)

  • 825 ESTATES DR

    COPPER CANYON, TX 750774815

    Phone: (817) 685-2598

    Type: Mailing

  • 1212 N HIGHWAY 377

    #119

    ROANOKE, TX 762626916

    Phone: (682) 831-1591

    Type: Location

  • 100 PLAZA PL STE 300

    NORTHLAKE, TX 762263479

    Phone: (214) 702-1994

    Fax: (817) 549-5589

    Type: Location

  • 3800 GAYLORD PKWY STE 795

    FRISCO, TX 750341102

    Phone: (214) 902-3400

    Fax: (214) 902-3428

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($113).

Total Amount

$113

General + Research + Ownership

Payments

2

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

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: 2012-09-04

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
I20120904000611INurse 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 75077)

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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: 0749610681View full group profile
NameSpecialtyState
C H I R O P R A C T I CSC
C H I R O P R A C T I CTX
C H I R O P R A C T I CPR
N E U R O L O G YTX

Reviews

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Frequently asked questions

What unique ID ties claims to KELLY JEAN FOX (FNP)?
NPI 1225214505 is assigned to KELLY JEAN FOX (FNP) under the national enumeration system.
Is KELLY JEAN FOX (FNP)'s NPI currently valid?
The extract we use shows KELLY JEAN FOX (FNP) as active.
What does KELLY JEAN FOX (FNP) treat or focus on?
Patients typically see KELLY JEAN FOX (FNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KELLY JEAN FOX (FNP) practice in Texas?
You will see Copper Canyon, Texas on file for KELLY JEAN FOX (FNP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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