Fristanto Kurniawan, MSN, RN, AGACNP-BC - Medicare Nurse Practitioner in Shenandoah, TX

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Fristanto Kurniawan, MSN, RN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Shenandoah, Texas. His current practice location is 9250 Pinecroft Dr, Shenandoah, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 897-2300.

Fristanto Kurniawan is licensed to practice in Texas (license number 1006744) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821600487.

Contact Information

Fristanto Kurniawan, MSN, RN, AGACNP-BC
9250 Pinecroft Dr,
Shenandoah, TX 77380-3218
(713) 897-2300
Not Available

Map and Direction




Provider's Profile

Full NameFristanto Kurniawan
GenderMale
SpecialityNurse Practitioner - Acute Care
Location9250 Pinecroft Dr, Shenandoah, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821600487
  • Provider Enumeration Date: 08/17/2020
  • Last Update Date: 07/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0648643932
  • Enrollment ID: I20230317000596

Medical Identifiers

Medical identifiers for Fristanto Kurniawan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821600487NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1006744 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fristanto Kurniawan allows following entities to bill medicare on his behalf.
Entity NameBenchmark Inpatient Services PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285111021
PECOS PAC ID: 3678821469
Enrollment ID: O20180810001269
Entity NameLone Star Intensivists at Gulf Coast, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528558236
PECOS PAC ID: 9537410972
Enrollment ID: O20180924001312
Entity NameHospital Medicine Services of TX, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881392363
PECOS PAC ID: 3274998067
Enrollment ID: O20230501001255
Entity NameIntensivist Medicine Services of TX, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790478444
PECOS PAC ID: 3476915190
Enrollment ID: O20230811003288

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fristanto Kurniawan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fristanto Kurniawan, MSN, RN, AGACNP-BC
1111 Medical Plaza Dr Ste 250,
The Woodlands, TX 77380-3477

Ph: (281) 296-8788		Fristanto Kurniawan, MSN, RN, AGACNP-BC
9250 Pinecroft Dr,
Shenandoah, TX 77380-3218

Ph: (713) 897-2300

Reviews and Comments


Nurse Practitioner Nurses in Shenandoah, TX

Karen Lee Mackenney, RN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 135 Vision Park Blvd, Shenandoah, TX 77384
Phone: 281-404-3000    Fax: 281-290-9824
Caroline Carson Lorenz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9250 Pinecroft Drive, Tower 7th, Shenandoah, TX 77380
Phone: 800-447-3422    
Michele L Tanz, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 134 Vision Park Blvd Ste 280, Shenandoah, TX 77384
Phone: 281-205-1111    Fax: 281-419-2111
Mrs. Ronia J Khouri, AGACNP-BC, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380
Phone: 713-897-2300    
Mr. Peter Robert Schultz, MSN, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 17189 Interstate 45 S Ste 675, Shenandoah, TX 77385
Phone: 936-270-3905    Fax: 936-271-1584
Destoni Edwards,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 150 Pine Forest Dr Ste 110, Shenandoah, TX 77384
Phone: 832-373-4392    
Mitalee Jiva,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1890 Research Forest Dr, Shenandoah, TX 77381
Phone: 832-658-3600    Fax: 713-897-7009

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.