Ellisa Krumm, MD
NPI 1124105457 · Family Medicine Physician · Fort Worth, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellisa Krumm, MD is a Family Medicine Physician provider in Fort Worth, TX (NPI 1124105457).
Provider details
- NPI number
- 1124105457
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 45018 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2017-06-06
Frequently asked questions
- What is Ellisa Krumm's NPI number?
- Ellisa Krumm's National Provider Identifier (NPI) is 1124105457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellisa Krumm's specialty?
- Ellisa Krumm is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ellisa Krumm located?
- Ellisa Krumm's practice location on file with NPPES is 1500 S Main St, Fort Worth, TX 76104-4917.
- What is Ellisa Krumm's phone number?
- The practice phone number listed in the NPPES registry for Ellisa Krumm is (817) 702-1204.
- Does Ellisa Krumm accept Medicare?
- Ellisa Krumm is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ellisa Krumm's NPI active?
- Yes — Ellisa Krumm's NPI (1124105457) is active in the NPPES registry as of the last update on 2017-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.