KRISTY DAWN CARROLL (FNP) – Family Nurse Practitioner, NPI 1609960343
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KRISTY DAWN CARROLL (FNP)
179 IH 45 S STE 300
HUNTSVILLE, TX 773404223
Phone: (936) 294-0152
Fax: (832) 559-8584
Type: Mailing
3345, Knob Oaks Drive, Pine Hill, Huntsville, Walker County, Texas, 77340, United States
HUNTSVILLE, TX 773408932
Phone: (936) 581-1748
Fax: (936) 291-1625
Type: Mailing
State Highway 105, Conroe, Montgomery County, Texas, 77387, United States
104
CONROE, TX 773041506
Phone: (936) 447-6020
Fax: (832) 559-8584
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,405.
Total Amount is formed as General ($1,405) + Research ($0) + Ownership ($0) = $1,405.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($426).
Total Amount
$1,405
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,405
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $426 |
| ABBVIE INC. | $302 |
| Lilly USA, LLC | $223 |
| PFIZER INC. | $130 |
| Takeda Pharmaceuticals U.S.A., Inc. | $72 |
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: 2007-03-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070302000111 | I | Nurse Practitioner | TX | TBD |
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.
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 77340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Internal Medicine, Pediatric Medicine | TX | |
| Internal Medicine, Family Practice | TX | |
| Internal Medicine | TX | |
| Internal Medicine | AR | |
| Internal Medicine | TX |
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