| Mrs Kimberly Anne Hansen, RN, CFNP | |
|
501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 | |
| (940) 763-7835 | |
| (940) 766-8711 |
| Full Name | Mrs Kimberly Anne Hansen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 501 Midwestern Pkwy E, Wichita Falls, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699774422 | NPI | - | NPPES |
| 1530834-01 | Medicaid | TX | |
| S0133086 | Other | TX | DPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 570268 (Texas) | Primary |
| Entity Name | Little Black Bag House Calls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376078881 PECOS PAC ID: 2163794629 Enrollment ID: O20170817001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Anne Hansen, RN, CFNP 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 Ph: (940) 763-7835 | Mrs Kimberly Anne Hansen, RN, CFNP 501 Midwestern Pkwy E, Wichita Falls, TX 76302-2302 Ph: (940) 763-7835 |
Eric Lee Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 Fax: 940-397-5292 | |
Jessica Denea Lander, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 | |
Jeanette Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 406-921-2209 | |
Judith L Brewer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 867 Wellington Ln, Wichita Falls, TX 76305 Phone: 940-704-4496 | |
Mrs. Hanh T Roller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4327 Barnett Rd, Wichita Falls, TX 76310 Phone: 940-764-5200 Fax: 940-764-5201 | |
Jonie Gene Lyon, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4518 Kemp Blvd, Wichita Falls, TX 76308 Phone: 940-757-0234 | |
Beverly Dea Wills, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1631 11th St, Wichita Falls, TX 76301 Phone: 940-767-5000 |