SOMMER MIMS CPNP
NPI 1184190100
Nurse Practitioner - Primary Care in Fort Worth, TX

Q: What is Sommer Mims's NPI number?

The NPI number for Sommer Mims is 1184190100. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Q: What is Sommer Mims's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Sommer Mims was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment

1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4007(682) 885-4004 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2021, Oct 17, 2018 (2 updates tracked since 2018).

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About Sommer Mims Cpnp NPPES

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

SOMMER MIMS CPNP (NPI 1184190100) is an individual primary care provider in Fort Worth, Texas, licensed in Texas (AP139283) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184190100

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSOMMER MIMSCredential: CPNP

Location Address1500 COOPER STFort Worth, TX 76104-2710

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-1855 · Fax (682) 885-1396

Phone(682) 885-4007

Fax(682) 885-4004

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 17, 2018

Last NPPES UpdateApril 6, 20212 updates tracked since enumeration

✔ NPI 1184190100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in TX · AP139283

1500 COOPER ST, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..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

Sommer Mims Cpnp 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 ID7517359102

PECOS Enrollment IDI20220111000794

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

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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.

KATRINA L WILLIE-MUSOMA MD

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