MR. KEVIN DOUGLAS HORN (NP) – Family Nurse Practitioner, NPI 1497643779

MR. KEVIN DOUGLAS HORN (NP) is a healthcare provider. based in Lubbock, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 85746 (NM). The NPI Number for MR. KEVIN DOUGLAS HORN (NP) is 1497643779

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEVIN DOUGLAS HORN (NP)
NPI
1497643779
Phone
(817) 219-6964
Address
2006 53RD ST
Enumeration Date
25 June 2025
Last Update Date
25 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5053226687
Graduation Year
2024 (2 years ago)
PAC ID
9032614391
Group Practice PAC ID
7214391366
Professional Enrollment ID
I20250926000901
Address ID
NM871202682AL6330XNWXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

2,370 NURSE PRACTITIONER in NM

Provider Addresses for MR. KEVIN DOUGLAS HORN (NP)

  • 2006 53RD ST

    LUBBOCK, TX 794122714

    Phone: (817) 219-6964

    Type: Mailing

  • 912 W 21ST ST

    CLOVIS, NM 881014149

    Phone: (575) 904-7577

    Fax: (505) 369-3406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-26

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
I20250926000901INurse PractitionerNMTBD

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 79412)

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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: 7214391366View full group profile
NameSpecialtyState
Physician AssistantNM
Nurse PractitionerNM
Nurse PractitionerUT
Nurse PractitionerNM
Nurse PractitionerFL
Nurse PractitionerKS
Nurse PractitionerNM
Nurse PractitionerNM
Nurse PractitionerNM

Reviews

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Frequently asked questions

What identifier follows MR. KEVIN DOUGLAS HORN (NP) across health systems?
The NPI 1497643779 uniquely identifies MR. KEVIN DOUGLAS HORN (NP) in U.S. healthcare data.
Does the public listing show MR. KEVIN DOUGLAS HORN (NP) as active?
MR. KEVIN DOUGLAS HORN (NP)'s NPI record reflects an active status in NPPES.
What type of care does MR. KEVIN DOUGLAS HORN (NP) provide?
MR. KEVIN DOUGLAS HORN (NP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. KEVIN DOUGLAS HORN (NP)?
MR. KEVIN DOUGLAS HORN (NP) shows a connection to Lubbock, Texas in registry-derived data.
Who maintains MR. KEVIN DOUGLAS HORN (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.