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

Kelly J Eisaman, NPC

Individual provider Family Nurse Practitioner · NPI 1730163593

Kelly J Eisaman, NPC is a Nurse Practitioner in Plano, Texas. Qualified in 2004, 22 years ago. Practices with Texas Health Physicians Group, a 1,356-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
22
Licensed in
TX
In the registry since
2005
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Practice location Address checks out

3060 Communications Pkwy Ste 100
Plano, TX 75093-8450
Phone: (972) 312-0607
Fax: (972) 312-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP114213 (TX)

Record details

NPI number1730163593
Entity typeIndividual (Type 1)
GenderMale
Credentials NPC
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address9250 Amberton Pkwy, Dallas, TX 75243-3224

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Texas Health Physicians Group — 1356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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