KOKEESHA E. PAUL (FNP) – Family Nurse Practitioner, NPI 1639785900

KOKEESHA E. PAUL (FNP) is a healthcare provider. based in Mineola, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP145480 (TX). The NPI Number for KOKEESHA E. PAUL (FNP) is 1639785900

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KOKEESHA E. PAUL (FNP)
NPI
1639785900
Phone
(903) 569-5383
Address
1302 N PACIFIC ST
Enumeration Date
21 September 2020
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035695383
Graduation Year
2013 (13 years ago)
PAC ID
6103203831
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20220518000435
Address ID
TX757731022MI1302XSTXX401

Contacts

Secure Messaging
kokeesha.paul@optum.com
Secure Messaging
kokeesha.paul@christushealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KOKEESHA E. PAUL (FNP)

  • 1302 N PACIFIC ST

    MINEOLA, TX 757731022

    Phone: (903) 569-5383

    Type: Mailing

  • PO BOX 494

    EDGEWOOD, TX 751170494

    Phone: (214) 335-0182

    Type: Mailing

  • 303 E COLLEGE ST STE C

    TERRELL, TX 751602700

    Phone: (214) 335-0182

    Type: Location

  • 303 E College St Ste C

    Terrell, TX 751602700

    Phone: (214) 335-0182

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2023-05-26 • Largest payer in this snapshot: Boston Scientific Corporation ($90).

Total Amount

$90

General + Research + Ownership

Payments

1

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-26

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: 2022-05-18

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
I20220518000435INurse 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
81003Automated urinalysis test8466$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza8068$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)6153$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing1515$0
View full utilization report →

Insurance plans in this area (ZIP 75773)

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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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Where can patients find KOKEESHA E. PAUL (FNP)'s NPI?
You can confirm KOKEESHA E. PAUL (FNP) with NPI 1639785900; it appears in the national provider directory.
Is KOKEESHA E. PAUL (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KOKEESHA E. PAUL (FNP)'s specialty in plain language?
Clinically, the directory lists KOKEESHA E. PAUL (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KOKEESHA E. PAUL (FNP)?
The snapshot lists Mineola, Texas for KOKEESHA E. PAUL (FNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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