Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY ANN PALLAZOLA FNP-BC
NPI 1164180667
Nurse Practitioner in Pueblo, CO

Q: What is Kimberly Pallazola's NPI number?

The NPI number for Kimberly Pallazola is 1164180667. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Q: What is Kimberly Pallazola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 01, 2021PECOS Enrolled

300 COLORADO AVE, PUEBLO, CO 81004(719) 543-8711(719) 543-0171 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Nov 1, 2022, Dec 2, 2021 (3 updates tracked since 2021).

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About Kimberly Ann Pallazola Fnp-bc NPPES

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

KIMBERLY ANN PALLAZOLA FNP-BC (NPI 1164180667) is an individual nurse practitioner in Pueblo, Colorado, licensed in Colorado (0997093) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164180667

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY ANN PALLAZOLACredential: FNP-BC

Location Address300 COLORADO AVEPueblo, CO 81004-2006

Mailing Address110 E Routt AvePueblo, CO 81004-2117 · (719) 543-8711 · Fax (719) 585-3057

Phone(719) 543-8711

Fax(719) 543-0171

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 1, 2021

Last NPPES UpdateOctober 29, 20263 updates tracked since enumeration

NPPES CertifiedOctober 29, 2026

✔ NPI 1164180667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CO · 0997093

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

300 COLORADO AVE, Pueblo, CO 81004

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Ann Pallazola Fnp-bc 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 ID941691786

PECOS Enrollment IDI20220105000816

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Pallazola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pueblo Community Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

300 COLORADO AVE
Pueblo, CO 81004

Reassigned Medicare billing, Colorado enrollment
137 clinicians in this Medicare group

NPI 1770529950 (719) 543-8711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81004 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PUEBLO COMMUNITY HEALTH CENTER

Health Maintenance Organization