P Praxis·MD
● Active Type 1 · Individual

Kristen Nicole Scroggins, PA

Physician Assistant·Tyler, TX· NPI 1992070486 · Enumerated 2012 · 14 years on NPI
Scroggins is 1 of 101 physician assistant providers in Tyler and 1 of 11022 in Texas.
NPI age
14 years
Enumerated 2012-03-15
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-05-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-03Enumerated in NPPES
2012 2026

Where they practice

Practice location
800 E Dawson St
Tyler, TX 757012036
📞 9035101186
Mailing address
Po Box 846098
Dallas, TX 752846098
📞 9033246450

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    TX license #PA07714 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (TX) 896N90 BCBS
01 (TX) P01200611 RAIL ROAD
05 (TX) 315609301
01 (TX) 752616977042 TRICARE
01 (TX) 75-2616977-007 TRICARE

Practice context

Part of a multi-provider practice. 321 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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