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

Kelly Lynn Ferguson, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1174247217

Kelly Lynn Ferguson, AGACNP is a Nurse Practitioner in Grapevine, Texas. Qualified in 2022, 4 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022

Practice location Address checks out

2020 W State Highway 114 Ste 200
Grapevine, TX 76051-8648
Phone: (817) 912-8400
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2022012572 (TX)

Record details

NPI number1174247217
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grapevine