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Active NPI 1437439221 Individual Practitioner Female Practitioner

Mystii Ellen Kidd , PNP

Nurse Practitioner - Primary Care • Plano, TX

Professional Overview & Biography Verified Profile Summary

Mystii Kidd, PNP is a registered healthcare professional specializing in Nurse Practitioner - Primary Care in Plano, TX. Practice services are available at 4001 W 15TH ST STE 350 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4001 W 15th St Ste 350

Plano, TX 750935863

Telephone 9725962131
Fax 6823032031
Associated Practice Facility / Clinic
🏢 Plano Pediatrics Pa Facility NPI 1538239496

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Plano, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.9 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Plano, TX (828 Statewide)

Telehealth Adoption Rate
11.8% 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: 2022-07-25
Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License TX AP107293

Definition to come...

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1043439375

Doctor of Osteopathic Medicine (D.O.)

NPI 1245626571

Doctor of Medicine (M.D.)

NPI 1255333605

Doctor of Medicine (M.D.)

Gregory Dann

Pediatrics

NPI 1528453891
NPI 1538429329

Doctor of Medicine (M.D.)

NPI 1740272566

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Nurse Practitioner (License #AP107293 in TX)

📍
Updated Practice Location March 11, 2022

Registered at 4001 W 15TH ST STE 350, PLANO, TX 750935863 (Tel: 9725962131)

📍
Updated Business Mailing Address March 11, 2022

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828856483)

NPI Profile Active April 15, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2014

Registered at 1105 N CENTRAL EXPWY, STE 250, ALLEN, TX 75013 (Tel: 9727475437)

📍
Updated Business Mailing Address April 15, 2014

Registered at 304 W BOYD DR, BOX 2301, ALLEN, TX 750132574 (Tel: 9723940872)

👤
Provider Name / Credentials Updated April 15, 2014

Recorded as MYSTII KIDD, PNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Nurse Practitioner (License #551617 in TX)

🟢
Initial NPI Registration & Enumeration August 24, 2011

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: 1437439221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2011
Last Update: July 25, 2022
Sole Proprietor: No

Mailing Address

Po Box 733784

Dallas, TX 753733784

Phone: 6828856483

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.