Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Koshy Vellavoor Jose, APRN-CNP, FNP-C

Individual provider Family Nurse Practitioner · NPI 1083212732

Mr. Koshy Vellavoor Jose, APRN-CNP, FNP-C is a Nurse Practitioner in Lufkin, Texas. Qualified in 2018, 8 years ago. Practices with Icare Pro of Texas ACO Billing Professional Association, a 14-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

207 Heather St
Lufkin, TX 75904-4845
Phone: (936) 465-0396
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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 AP144410 (TX)

Record details

NPI number1083212732
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP , FNP-C
Sole proprietorNo
NPI enumeratedOctober 14, 2020
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Icare Pro Of Texas Aco Billing Professional Association — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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