KIMBERLY ELAINE MIDDLETON NP
NPI 1154864742
Nurse Practitioner - Adult Health in Greenville, TX

Q: What is Kimberly Middleton's NPI number?

The NPI number for Kimberly Middleton is 1154864742. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Q: What is Kimberly Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since November 30, 2016PECOS EnrolledAccepts Medicare Assignment

4211 JOE RAMSEY BLVD E STE 105, GREENVILLE, TX 75401(214) 369-3613(903) 408-7919 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, May 22, 2018 (2 updates tracked since 2018).

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About Kimberly Elaine Middleton Np NPPES

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

KIMBERLY ELAINE MIDDLETON NP (NPI 1154864742) is an individual adult health provider in Greenville, Texas, licensed in Texas (AP132579) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White The Heart Hospital - Plano, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154864742

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIMBERLY ELAINE MIDDLETONCredential: NP

Location Address4211 JOE RAMSEY BLVD E STE 105Greenville, TX 75401

Mailing Address4211 Joe Ramsey Blvd E Ste 105Greenville, TX 75401-7858 · (214) 369-3613 · Fax (903) 408-7919

Phone(214) 369-3613

Fax(903) 408-7919

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 30, 2016

Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1154864742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · AP132579

Also ListedNurse PractitionerTaxonomy 363L00000X · License 616441 (TX)

4211 JOE RAMSEY BLVD E STE 105, Greenville, TX 75401

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Other Identifiers 1

Other616441TX · Registered Nurse License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Elaine Middleton Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254615669

PECOS Enrollment IDI20170303000333

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

927 services640 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

668 services515 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

320 services244 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

45 services40 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

45 services39 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

31 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75401 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 Kimberly Middleton's NPI number?

The NPI number for Kimberly Middleton is 1154864742. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Where is Kimberly Middleton located?

Kimberly Middleton practices at 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401. The listed phone number is (214) 369-3613.

What is Kimberly Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Middleton enrolled in Medicare?

Yes. Kimberly Middleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Middleton accept?

Health plans from Blue Cross and Blue Shield of Texas list Kimberly Middleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Middleton affiliated with any hospitals?

According to CMS data, Kimberly Middleton is affiliated with Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Kimberly Middleton was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.