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MS. KIMBERLEE ANGEL FNP-C
NPI 1124387402
Nurse Practitioner - Family in Surprise, AZ

Active since May 08, 2012Opted out of Medicare · through Dec 10, 2026
11340 W BELL RD STE 121, SURPRISE, AZ 85378(623) 444-2123 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2024, Nov 14, 2023 (2 updates tracked since 2023).

About Ms. Kimberlee Angel Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLEE ANGEL FNP-C (NPI 1124387402) is an individual family provider in Surprise, Arizona, licensed in Arizona (300128) and active in the NPI registry since May 2012. She has opted out of Medicare through December 10, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124387402
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIMBERLEE ANGELCredential: FNP-C
Location Address11340 W BELL RD STE 121Surprise, AZ 85378-9333
Mailing Address11340 W Bell Rd Ste 121Surprise, AZ 85378-9333 · (623) 444-2123
Phone(623) 444-2123
Sole ProprietorNo
Enumeration DateMay 8, 2012
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1124387402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 300128
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN142830 (AZ)
11340 W BELL RD STE 121, Surprise, AZ 85378
Open in Google Maps ↗

Other Identifiers 1

OtherTEMP300128AZ · Arizona Board Of Nursing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Kimberlee Angel Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 10, 2024 through December 10, 2026.

Opt-Out Effective DateDecember 10, 2024
Opt-Out In Effect ThroughDecember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85378 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberlee Angel's NPI number?

The NPI number for Kimberlee Angel is 1124387402. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Kimberlee Angel located?

Kimberlee Angel practices at 11340 W Bell Rd Ste 121, Surprise, AZ 85378. The listed phone number is (623) 444-2123.

What is Kimberlee Angel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberlee Angel enrolled in Medicare?

No. Kimberlee Angel has opted out of Medicare through December 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kimberlee Angel was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.