Mary Kistner, CPNP
Mary Kistner, CPNP is a Primary Care Nurse Practitioner in Fort Worth, TX, registered under NPI 1174787345. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1401 W PULASKI ST, Fort Worth, TX 76104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| AP117015 | TX | Primary Care Nurse Practitioner primary |
| 505410 | TX | Registered Nurse |
| AP117015 | TX | Pediatric Nurse Practitioner |
This provider holds licence AP117015 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Primary Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP2300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LP2300X | Primary Care Nurse Practitioner Primary Care | AP117015 | TX | primary |
| 163W00000X | Registered Nurse | 505410 | TX | |
| 363LP0200X | Pediatric Nurse Practitioner Pediatrics | AP117015 | TX |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1174787345 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 16, 2008 |
| Last updated | Jul 3, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | CPNP |
| Practice address |
1401 W PULASKI ST Fort Worth, TX 76104 (682) 885-8012 Fax (682) 885-8014 |
| Mailing address |
PO BOX 99213 Fort Worth, TX 76199 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 7 | 4 | 7 | 8 | 7 | 3 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 5 | 4 | 5 | 8 | 5 | 3 | 8 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.