KENDRA DEANN PROCTOR (RN, CFNP) – Nurse Practitioner, NPI 1396764981

KENDRA DEANN PROCTOR (RN, CFNP) is a healthcare provider. based in Paris, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, CFNP. They hold a License No. 562744 (TX). The NPI Number for KENDRA DEANN PROCTOR (RN, CFNP) is 1396764981

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA DEANN PROCTOR (RN, CFNP)
NPI
1396764981
Phone
(903) 785-4362
Address
1128 CLARKSVILLE ST
Enumeration Date
18 July 2006
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9036690800
Graduation Year
1993 (33 years ago)
PAC ID
2365581030
Group Practice PAC ID
0143272286
Professional Enrollment ID
I20091209000627
Address ID
TX754606074PA1128XSTXX301
Telehealth
Yes

Contacts

Secure Messaging
clinical@parisfamily.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for KENDRA DEANN PROCTOR (RN, CFNP)

  • 1128, Clarksville Street, Paris, Lamar County, Texas, 75460, United States

    STE. 100

    PARIS, TX 754606060

    Phone: (903) 785-4362

    Fax: (903) 782-9365

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 230 Open Payments records for all available years, with a total value of $3,453.

Total Amount is formed as General ($3,453) + Research ($0) + Ownership ($0) = $3,453.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($547).

Total Amount

$3,453

General + Research + Ownership

Payments

230

Total payment records

General Amount

$3,453

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2009-12-09

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
I20091209000627INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,284121$0
36415Insertion of needle into vein for collection of blood sample632307$0
99213Established patient office or other outpatient visit, 20-29 minutes624338$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count561299$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month552109$0
View full utilization report →

Insurance plans in this area (ZIP 75460)

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Provider's Procedures

KENDRA DEANN PROCTOR (RN, CFNP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTX85610Blood test, clotting time7211
NURSE PRACTITIONERTX90670Pneumococcal vaccine for injection into muscle4746

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: 0143272286View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for KENDRA DEANN PROCTOR (RN, CFNP) in the U.S.?
In the U.S., KENDRA DEANN PROCTOR (RN, CFNP) is identified by NPI 1396764981.
Should I treat KENDRA DEANN PROCTOR (RN, CFNP) as an active provider?
Patients and plans typically see KENDRA DEANN PROCTOR (RN, CFNP) as active in the national extract.
How should patients interpret KENDRA DEANN PROCTOR (RN, CFNP)'s specialty?
The extract shows Nurse Practitioner for KENDRA DEANN PROCTOR (RN, CFNP). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENDRA DEANN PROCTOR (RN, CFNP)?
KENDRA DEANN PROCTOR (RN, CFNP) is associated with Paris, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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