Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Elise Fenton, NP

Individual provider Nurse Practitioner · NPI 1003588963

Anna Elise Fenton, NP is a Nurse Practitioner in Tyler, Texas. Qualified in 2021, 5 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6210 S Broadway Ave
Tyler, TX 75703-4413
Phone: (903) 579-2700
Fax: (903) 579-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1055530 (TX)

Record details

NPI number1003588963
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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