1. Home
  2. Directory
  3. Texas
  4. Haltom City
  5. Physician Assistant
  6. NPI Profile

MRS. KIMBERLY WILLIAMSON PA-C
NPI 1174845010
Physician Assistant in Haltom City, TX

Active since February 19, 2010Opted out of Medicare · through Jan 1, 2028
6340 N BEACH ST, HALTOM CITY, TX 76137(817) 514-8668 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kimberly Williamson Pa-c NPPES

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

MRS. KIMBERLY WILLIAMSON PA-C (NPI 1174845010) is an individual physician assistant in Haltom City, Texas, licensed in Texas (PA05996) and active in the NPI registry since February 2010. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174845010
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KIMBERLY WILLIAMSONCredential: PA-C
Location Address6340 N BEACH STHaltom City, TX 76137-2622
Mailing Address1614 Scripture StDenton, TX 76201-3837
Phone(817) 514-8668
Sole ProprietorNo
Enumeration DateFebruary 19, 2010
Last NPPES UpdateJune 8, 2017
✔ NPI 1174845010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA05996
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6340 N BEACH ST, Haltom City, TX 76137
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kimberly Williamson Pa-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 January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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 76137 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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

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

DANIEL JOHN MCINTYRE PA-C
Physician Assistant (Medical)
6340 N BEACH ST
HALTOM CITY, TX 76137
Tarrant County (817) 514-8668

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 Williamson's NPI number?

The NPI number for Kimberly Williamson is 1174845010. It was assigned to this individual provider in the NPPES registry on February 19, 2010.

Where is Kimberly Williamson located?

Kimberly Williamson practices at 6340 N Beach St, Haltom City, TX 76137. The listed phone number is (817) 514-8668.

What is Kimberly Williamson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Williamson enrolled in Medicare?

No. Kimberly Williamson has opted out of Medicare through January 1, 2028. 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 Kimberly Williamson was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.