LAUREN KELLY KUTAC (RN, FNP-C) – Family Nurse Practitioner, NPI 1497764047

LAUREN KELLY KUTAC (RN, FNP-C) is a healthcare provider. based in Hallettsville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, FNP-C. They hold a License No. F0705076 (TX). The NPI Number for LAUREN KELLY KUTAC (RN, FNP-C) is 1497764047

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN KELLY KUTAC (RN, FNP-C)
NPI
1497764047
Phone
(361) 798-3671
Address
1406 N TEXANA ST
Enumeration Date
5 August 2006
Last Update Date
3 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8664730663
Graduation Year
2005 (21 years ago)
PAC ID
2668476581
Group Practice PAC ID
2769814573
Professional Enrollment ID
I20060907000574
Address ID
TX787053302AU2911XSTXX404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for LAUREN KELLY KUTAC (RN, FNP-C)

  • North Texana Street, Hallettsville, Lavaca County, Texas, 77964, United States

    HALLETTSVILLE, TX 779642021

    Phone: (361) 798-3671

    Fax: (361) 798-3128

    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)

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: 2006-09-07

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
I20060907000574INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes1813$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 77964)

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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: 2769814573View full group profile
NameSpecialtyState
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
P S Y C H I A T R YPA
Internal MedicineTX
D E R M A T O L O G YMI
Nurse PractitionerTX
Psychiatry, Addiction MedicineTX
Internal Medicine, Pain ManagementTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What is LAUREN KELLY KUTAC (RN, FNP-C)'s NPI number?
LAUREN KELLY KUTAC (RN, FNP-C)'s NPI is 1497764047 — the number used across U.S. healthcare to identify this provider.
Is LAUREN KELLY KUTAC (RN, FNP-C) shown as active in public data?
Registry records indicate LAUREN KELLY KUTAC (RN, FNP-C) maintains an active NPI.
What area of care is associated with LAUREN KELLY KUTAC (RN, FNP-C)?
LAUREN KELLY KUTAC (RN, FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is LAUREN KELLY KUTAC (RN, FNP-C) registered?
Use Hallettsville, Texas as the headline location for LAUREN KELLY KUTAC (RN, FNP-C) here.
When was this NPI issued?
Enumeration for LAUREN KELLY KUTAC (RN, FNP-C) is noted as August 5, 2006 where the registry provides it.

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