Fristanto Kurniawan, MSN, RN, AGACNP-BC
NPI 1821600487 · Acute Care Nurse Practitioner · Shenandoah, TX
Provider details
- NPI number
- 1821600487
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, RN, AGACNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 1006744 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
477 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 218 | $172 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 173 | $95 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 46 | $140 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 21 | $92 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 19 | $64 |
Typical Medicare-allowed amounts for these services range $64–$172 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (6)
- 17201 I 45 SShenandoah, TX 77385-3311Phone: (936) 270-2000
- 17201 I 45 SShenandoah, TX 77385-3311Phone: (936) 270-2000
- 17201 I 45 SShenandoah, TX 77385-3311Phone: (936) 270-2000
- 17200 St Lukes WayThe Woodlands, TX 77384-8007Phone: (936) 288-2000
- 17200 St Lukes WayThe Woodlands, TX 77384-8007Phone: (936) 288-2000
- 17200 St Lukes WayThe Woodlands, TX 77384-8007Phone: (936) 288-2000
Registry dates
- Enumerated
- 2020-08-17
- Last updated
- 2022-07-05
- Certified
- 2022-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.