HOLLY ELAINE KIMBALL AGPCNP
NPI 1174057855
Nurse Practitioner - Gerontology in Temple, TX

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
1605 S 31ST ST, TEMPLE, TX 76508(254) 215-0100 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, Feb 7, 2023, Jan 31, 2023 and 4 more (7 updates tracked since 2017).

About Holly Elaine Kimball Agpcnp NPPES

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

HOLLY ELAINE KIMBALL AGPCNP (NPI 1174057855) is an individual gerontology provider in Temple, Texas, licensed in Texas (1108466) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174057855
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHOLLY ELAINE KIMBALLCredential: AGPCNP
Location Address1605 S 31ST STTemple, TX 76508-4709
Mailing Address1605 S 31st StTemple, TX 76508-0001 · (254) 215-0100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 19, 2017
Last NPPES UpdateNovember 15, 20247 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1174057855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TX · 1108466
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 1108466 (TX)
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License AP133825 (TX), 713761 (TX)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License AP133825 (TX)
1605 S 31ST ST, Temple, TX 76508

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

Holly Elaine Kimball Agpcnp 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 ID547547127
PECOS Enrollment IDI20170509000743
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.

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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.

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.

Internal Medicine
1605 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
1605 S 31ST ST
TEMPLE, TX 76508
Physician Assistant (Medical)
1605 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
1605 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
1605 S 31ST ST
TEMPLE, TX 76508
Dietitian, Registered
1605 S 31ST ST
TEMPLE, TX 76508
Pharmacy Technician
1605 S 31ST ST
TEMPLE, TX 76508
Allergy & Immunology
1605 S 31ST ST
TEMPLE, TX 76508

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 Holly Kimball's NPI number?

The NPI number for Holly Kimball is 1174057855. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Holly Kimball located?

Holly Kimball practices at 1605 S 31st St, Temple, TX 76508. The listed phone number is (254) 215-0100.

What is Holly Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Holly Kimball enrolled in Medicare?

Yes. Holly Kimball 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.

Is Holly Kimball affiliated with any hospitals?

According to CMS data, Holly Kimball is affiliated with Baylor Scott & White Medical Center - Temple.

When was this NPI record last updated?

The NPPES record for Holly Kimball was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.