Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619691953 Individual Practitioner Female Practitioner

Katherine Summerlin , FNP-C

Nurse Practitioner • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Katherine Summerlin, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Mansfield, TX. Practice services are available at 1759 BROAD PARK CIR S STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1759 Broad Park Cir S Ste 201

Mansfield, TX 760637834

Telephone 6823413910
Associated Practice Facility / Clinic
🏢 Harmonyville Pllc Facility NPI 1023962636

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mansfield, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
16 Specialists

Practicing in Mansfield, TX (4894 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 1091708

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TX 1091708

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1073190286

Doctor of Osteopathic Medicine (D.O.)

Jeanette Lopez

Physician Assistant

NPI 1093671489
Ramy Sabe , MBBCH

Pediatrics - Pediatric Gastroenterology

NPI 1235577800
Hannah Armendarez

Nurse Practitioner - Pediatrics

NPI 1417695172
Kathryne Rivero , RN, ARPN, CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1740910280

Registered Nurse, ARPN, CPNPPC

Davy Krang

Nurse Practitioner - Pediatrics

NPI 1770326142

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address February 23, 2024

Registered at 11807 SOUTH FWY STE 365, BURLESON, TX 760287045 (Tel: 8175515539)

NPI Profile Active September 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2022

Registered at 1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 760637834 (Tel: 6823413910)

📍
Updated Business Mailing Address September 29, 2022

Registered at 1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 760637834 (Tel: 6823413910)

👤
Provider Name / Credentials Updated September 29, 2022

Recorded as KATHERINE SUMMERLIN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2022

Nurse Practitioner (License #1091708 in TX)

🟢
Initial NPI Registration & Enumeration September 29, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619691953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2022
Last Update: March 21, 2025
Sole Proprietor: No

Mailing Address

11807 South Fwy Ste 365

Burleson, TX 760287045

Phone: 8175515539

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.