R KENT VANDERGRIFF ACNP NPI 1215230586

NPI Information

  • NPI: 1215230586
  • Provider Name: R KENT VANDERGRIFF, ACNP
  • Classification: Nurse Practitioner - 363LC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 E DAWSON ST
    TYLER, TX
    ZIP 75701
  • Phone: (903) 525-1914

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NPI Details

R Kent Vandergriff, ACNP is a critical care medicine nurse practitioner in Tyler, TX with 11 years of experience. R Kent Vandergriff, ACNP NPI is 1215230586. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 E DAWSON ST
TYLER, TX
ZIP 75701-036
Phone: (903) 525-1914

The NPI 1215230586 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Critical care, each additional 30 minutes (HCPCS:99292)

The enumeration date for this NPI number is 12/8/2010 and was last updated on 10/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LC0200XNurse PractitionerCritical Care Medicine631043TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00911372MEDICARE PINTEXAS
2280002101MEDICAIDTEXAS
3835N41OTHERTEXASBCBS
4TIN PLUS 042OTHERTEXASTRICARE
5TXB120333MEDICARE OSCAR/CERTIFICATIONTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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