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MRS. KIMBERLY SPOTTS PA-C
NPI 1326298316
Physician Assistant - Surgical in Shreveport, LA

Active since September 25, 2008PECOS EnrolledAccepts Medicare Assignment
1500 LINE AVE STE 200, SHREVEPORT, LA 71101(318) 629-5555(318) 629-5556 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kimberly Spotts Pa-c NPPES

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

MRS. KIMBERLY SPOTTS PA-C (NPI 1326298316) is an individual surgical provider in Shreveport, Louisiana, licensed in Louisiana (200366) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1326298316
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. KIMBERLY SPOTTSCredential: PA-C
Location Address1500 LINE AVE STE 200Shreveport, LA 71101-4643
Mailing Address1500 Line Ave Ste 200Shreveport, LA 71101-4643 · (318) 629-5555 · Fax (318) 629-5556
Phone(318) 629-5555
Fax(318) 629-5556
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 25, 2008
Last NPPES UpdateSeptember 27, 2018
✔ NPI 1326298316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in LA · 200366
1500 LINE AVE STE 200, Shreveport, LA 71101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Mrs. Kimberly Spotts Pa-c 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 ID1557429933
PECOS Enrollment IDI20100804000964
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.

Other Providers at the Same Location NPPES 5

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

LAUREN GREEN AGACNP-BC
Nurse Practitioner
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
JAYCIE MADISON MARTIN PA-C
Physician Assistant
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
DR. PETER GRAVEL CAMPBELL M.D.
Neurological Surgery
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
MRS. MEAGAN JEANETTE SIMMONS RNFA
Registered Nurse (Registered Nurse First Assistant)
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555
PETER X NGUYEN PA-C
Physician Assistant (Surgical)
1500 LINE AVE STE 200
SHREVEPORT, LA 71101
Caddo Parish (318) 629-5555

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 Spotts's NPI number?

The NPI number for Kimberly Spotts is 1326298316. It was assigned to this individual provider in the NPPES registry on September 25, 2008.

Where is Kimberly Spotts located?

Kimberly Spotts practices at 1500 Line Ave Ste 200, Shreveport, LA 71101. The listed phone number is (318) 629-5555.

What is Kimberly Spotts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Spotts enrolled in Medicare?

Yes. Kimberly Spotts 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 Kimberly Spotts accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kimberly Spotts 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 Kimberly Spotts was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.