DR. KELLIE RUTH KING APRN
NPI 1316554264
Nurse Practitioner - Family in Fort Worth, TX

Q: What is Kellie King's NPI number?

The NPI number for Kellie King is 1316554264. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Q: What is Kellie King's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellie King was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 24, 2020PECOS EnrolledAccepts Medicare Assignment

5937 DONNELLY AVE, FORT WORTH, TX 76107(682) 212-9140 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2023, Sep 24, 2020 (2 updates tracked since 2020).

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About Dr. Kellie Ruth King Aprn NPPES

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

DR. KELLIE RUTH KING APRN (NPI 1316554264) is an individual family provider in Fort Worth, Texas, licensed in Texas (1017997) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Prairie, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1316554264

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. KELLIE RUTH KINGCredential: APRN

Location Address5937 DONNELLY AVEFort Worth, TX 76107-5811

Mailing Address5605 N Macarthur Blvd Ste 400Irving, TX 75038-2693 · (469) 400-4784

Phone(682) 212-9140

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 24, 2020

Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration

NPPES CertifiedMarch 28, 2023

✔ NPI 1316554264 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

Licenses✔ Licensed in TX · 1017997✔ Licensed in FL · 11009343

5937 DONNELLY AVE, Fort Worth, TX 76107

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Secondary Practice Location 1

Location 17043 MiramarGrand Prairie, TX 75054-5563 · Phone (561) 577-1877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Kellie Ruth King Aprn 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 ID7315351418

PECOS Enrollment IDI20210202000076

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 13

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.

Restorigin, per square centimeter Q4191

Restorigin is a medical procedure that helps in the regeneration of skin tissue. It's typically used for wound healing and involves the application of skin cells to the affected area. The service is charged per square centimeter, relating to the size of the treatment area.

3,764 services18 patients

Membrane graft or membrane wrap, per square centimeter Q4205

A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.

1,088 services12 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

429 services36 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

329 services78 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

328 services78 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

265 services42 patients

Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less 15272

This procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.

200 services21 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

92 services33 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

53 services53 patients

Removal of inflamed or infected skin, up to 10% of body surface 11000

This procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.

35 services17 patients

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.

15 services12 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

14 services14 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76107 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.

Other Providers at the Same Location NPPES 4

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

BONNIE RUTH MARTIN ANP

Nurse Practitioner (Family)

5937 DONNELLY AVE
FORT WORTH, TX 76107

Tarrant County (682) 212-9140

TEXAS HEALTH URGENT CARE

Clinic/Center (Urgent Care)

5937 DONNELLY AVE
FORT WORTH, TX 76107

Tarrant County (469) 495-9142

MAILEY DUNG PHAM-MAY DNP, FNP-BC

Nurse Practitioner (Family)

5937 DONNELLY AVE
FORT WORTH, TX 76107

Tarrant County (682) 212-9140

LINDSEY LACEY SEWELL FNP

Nurse Practitioner (Family)

5937 DONNELLY AVE
FORT WORTH, TX 76107

Tarrant County (682) 212-9140

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 Kellie King's NPI number?

The NPI number for Kellie King is 1316554264. It was assigned to this individual provider in the NPPES registry on September 24, 2020.

Where is Kellie King located?

Kellie King practices at 5937 Donnelly Ave, Fort Worth, TX 76107. The listed phone number is (682) 212-9140.

What is Kellie King's specialty?

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

Is Kellie King enrolled in Medicare?

Yes. Kellie King 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 Kellie King accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kellie King 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.

When was this NPI record last updated?

The NPPES record for Kellie King was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.