Kimberly Sue Mitchell, FNP-C in Portland, TX - Medicare Nurse Practitioner

Kimberly Sue Mitchell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Portland, Texas. Her current practice location is 1700 Wildcat Dr Ste B, Portland, Texas. You can reach out to her office (for appointments etc.) via phone at (361) 704-6368.

Kimberly Sue Mitchell is licensed to practice in Texas (license number 1097231) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578258307.

Contact Information

	Kimberly Sue Mitchell, FNP-C
	1700 Wildcat Dr Ste B, Portland, TX 78374-2838
	(361) 704-6368
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Sue Mitchell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Wildcat Dr Ste B, Portland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578258307
Provider Enumeration Date: 04/07/2023
Last Update Date: 04/07/2023

Medicare PECOS Information:

PECOS PAC ID: 7214394766
Enrollment ID: I20230529000125

Medical Identifiers

Medical identifiers for Kimberly Sue Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578258307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1097231 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Sue Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Access Total Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063928273 PECOS PAC ID: 8224399092 Enrollment ID: O20180220000241

Entity Name	Access Urgent Care-kingsville Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679052666 PECOS PAC ID: 2567799729 Enrollment ID: O20190809002350

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Sue Mitchell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Sue Mitchell, FNP-C 5014 County Road 2015, Odem, TX 78370-4497 Ph: () -	Kimberly Sue Mitchell, FNP-C 1700 Wildcat Dr Ste B, Portland, TX 78374-2838 Ph: (361) 704-6368

Reviews and Comments

Nurse Practitioner Nurses in Portland, TX

Micah Flores, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137
Mrs. Samantha Jo Wright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 616 Elm St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047
Amber Leia Waggoner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137
Marka Jane Dredla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 277 Buddy Ganem Dr Ste A, Portland, TX 78374 Phone: 361-777-3900 Fax: 361-413-0274
Matthew Kern, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Northshore Blvd, Portland, TX 78374 Phone: 361-480-0334
Mrs. Gloria Perales Solis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Wildcat Dr Ste C, Portland, TX 78374 Phone: 361-643-9800 Fax: 361-643-5112
Kerrie Hogin Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546

Kimberly Sue Mitchell, FNP-C - Medicare Nurse Practitioner in Portland, TX