Kelly Jean Fox, FNP is a medicare enrolled "Nurse Practitioner - Family" in Northlake, Texas. She graduated from nursing school in 1998 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Synapse Human Performance Centers, Inc. and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225214505.
Provider's Profile
| Full Name | Kelly Jean Fox |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 28 Years |
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| Location | 100 Plaza Pl Ste 300, Northlake, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly Jean Fox graduated from nursing school in 1998
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.
| Identifier | Type | State | Issuer |
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| 1225214505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 582397 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP109133 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Synapse Human Performance Centers, Inc. | 0749610681 | 5 |
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 Name | Communitymed Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821417072
PECOS PAC ID: 9830315126
Enrollment ID: O20140722002029 |
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| Entity Name | Communitymed Pcp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063818219
PECOS PAC ID: 7618295007
Enrollment ID: O20150415001009 |
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| Entity Name | Synapse Human Performance Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154967552
PECOS PAC ID: 0749610681
Enrollment ID: O20200417000118 |
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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 Address | Practice Location Address |
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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 |
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