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

Courtney Rene Kissling

Individual provider Nurse Practitioner · NPI 1407518525

Courtney Rene Kissling is a Nurse Practitioner in Bonham, Texas. Qualified in 2021, 5 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

2140 N Hwy 121
Bonham, TX 75418
Phone: (430) 703-1550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1339 S Broadway St, Sulphur Springs, TX 75482-4895 — (903) 951-1001
  • 5414 S Broadway Ave, Tyler, TX 75703-1335 — (903) 581-1601
  • 3593 E Grande Blvd, Tyler, TX 75707-1400 — (903) 839-2585

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1055942 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 1055942 (TX)

Record details

NPI number1407518525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023

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 Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bonham