KIMBERLY SHADELLE HARDY-SAMPSON FNP
NPI 1164777553
Nurse Practitioner - Family in Houston, TX

Active since July 21, 2012PECOS EnrolledAccepts Medicare Assignment
4330 BELLFORT ST, HOUSTON, TX 77051(713) 732-3532 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 19, 2024, Sep 27, 2021 (3 updates tracked since 2021).

About Kimberly Shadelle Hardy-sampson Fnp NPPES

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

KIMBERLY SHADELLE HARDY-SAMPSON FNP (NPI 1164777553) is an individual family provider in Houston, Texas, licensed in Texas (747140) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164777553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY SHADELLE HARDY-SAMPSONCredential: FNP
Location Address4330 BELLFORT STHouston, TX 77051-1802
Mailing Address909 Frostwood Dr Ste 1.100Houston, TX 77024-2301 · (713) 338-5519
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 21, 2012
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1164777553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 747140
4330 BELLFORT ST, Houston, TX 77051

Secondary Practice Locations 2

Location 1915 Gessner Rd Ste 100Houston, TX 77024-2537 · Phone (713) 242-2575
Location 210333 Kuykendahl Rd Ste DThe Woodlands, TX 77382-2878 · Phone (713) 897-7244

Accepted 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 Shadelle Hardy-sampson Fnp 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 ID3971751397
PECOS Enrollment IDI20120910000559
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
173 services117 patients
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.
46 services40 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 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.
16 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77051 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 3

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

Clinic/Center (Urgent Care)
4330 BELLFORT ST
HOUSTON, TX 77051
Clinic/Center (Occupational Medicine)
4330 BELLFORT ST
HOUSTON, TX 77051
Clinic/Center (Primary Care)
4330 BELLFORT ST
HOUSTON, TX 77051

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 Hardy-sampson's NPI number?

The NPI number for Kimberly Hardy-sampson is 1164777553. It was assigned to this individual provider in the NPPES registry on July 21, 2012.

Where is Kimberly Hardy-sampson located?

Kimberly Hardy-sampson practices at 4330 Bellfort St, Houston, TX 77051. The listed phone number is (713) 732-3532.

What is Kimberly Hardy-sampson's specialty?

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

Is Kimberly Hardy-sampson enrolled in Medicare?

Yes. Kimberly Hardy-sampson 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 Hardy-sampson accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Oscar Insurance Company list Kimberly Hardy-sampson 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 Hardy-sampson affiliated with any hospitals?

According to CMS data, Kimberly Hardy-sampson is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Kimberly Hardy-sampson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.