KIMBERLY NIETO PNP-PC
NPI 1245928183
Nurse Practitioner - Pediatrics in Lubbock, TX

Q: What is Kimberly Nieto's NPI number?

The NPI number for Kimberly Nieto is 1245928183. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Q: What is Kimberly Nieto's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Nieto was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 28, 2023PECOS Enrolled

4015 22ND PL, LUBBOCK, TX 79410(806) 725-0000 Get Directions Write a Review

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

Record update history: May 16, 2024, Jun 20, 2023 (2 updates tracked since 2023).

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About Kimberly Nieto Pnp-pc NPPES

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

KIMBERLY NIETO PNP-PC (NPI 1245928183) is an individual pediatrics provider in Lubbock, Texas, licensed in Texas (1088175) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245928183

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKIMBERLY NIETOCredential: PNP-PC

Location Address4015 22ND PLLubbock, TX 79410-1119

Mailing Address4015 22nd PlLubbock, TX 79410-1119 · (806) 725-0000

Phone(806) 725-0000

Sole ProprietorNo

Enumeration DateApril 28, 2023

Last NPPES UpdateMay 16, 20242 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1245928183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in TX · 1088175

4015 22ND PL, Lubbock, TX 79410

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Nieto Pnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 79410 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.

CAPROCK NEONATOLOGY

Pediatrics (Neonatal-Perinatal Medicine)