Kelly Jean Fox, FNP - Medicare Nurse Practitioner in Northlake, TX

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Kelly Jean Fox, FNP is a medicare enrolled "Nurse Practitioner - Family" in Northlake, Texas. Her current practice location is 100 Plaza Pl Ste 300, Northlake, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 702-1994.

Kelly Jean Fox is licensed to practice in Texas (license number AP109133) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225214505.

Contact Information

Kelly Jean Fox, FNP
100 Plaza Pl Ste 300,
Northlake, TX 76226-3479
(214) 702-1994
(817) 549-5589

Map and Direction




Provider's Profile

Full NameKelly Jean Fox
GenderFemale
SpecialityNurse Practitioner - Family
Location100 Plaza Pl Ste 300, Northlake, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225214505
  • Provider Enumeration Date: 01/16/2008
  • Last Update Date: 01/07/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9537316195
  • Enrollment ID: I20120904000611

Medical Identifiers

Medical identifiers for Kelly Jean Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225214505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 582397 (Texas)Secondary
363LF0000XNurse Practitioner - Family AP109133 (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. Kelly Jean Fox allows following entities to bill medicare on her behalf.
Entity NameCommunitymed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821417072
PECOS PAC ID: 9830315126
Enrollment ID: O20140722002029
Entity NameCommunitymed Pcp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063818219
PECOS PAC ID: 7618295007
Enrollment ID: O20150415001009
Entity NameSynapse Human Performance Centers, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154967552
PECOS PAC ID: 0749610681
Enrollment ID: O20200417000118

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. Kelly Jean Fox 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
Kelly Jean Fox, FNP
100 Plaza Pl Ste 300,
Northlake, TX 76226-3479

Ph: (214) 702-1994		Kelly Jean Fox, FNP
100 Plaza Pl Ste 300,
Northlake, TX 76226-3479

Ph: (214) 702-1994

Reviews and Comments


Nurse Practitioner Nurses in Northlake, TX

Amanda Jo Cheney, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4901 State Highway 114 Ste 102, Northlake, TX 76262
Phone: 817-554-2121    Fax: 817-813-8183

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.