KYLIE BROCK - NPI 1326728064 - Nurse Practitioner in Lubbock, TX

Q: What is Kylie Brock's NPI number?

The NPI number for Kylie Brock is 1326728064. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Q: What is Kylie Brock'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 Kylie Brock was last updated on July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kylie Brock NPPES

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

KYLIE BROCK (NPI 1326728064) is an individual family provider in Lubbock, Texas, licensed in Texas (1129006) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.

NPPES Registry Identity

NPI1326728064

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKYLIE BROCK

Location Address5028 122ND STLubbock, TX 79424-8398

Mailing Address5028 122nd StLubbock, TX 79424-8398 · (806) 749-7975 · Fax (806) 749-7937

Phone(806) 749-7975

Fax(806) 749-7937

Sole ProprietorNo

Enumeration DateJuly 18, 2023

Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1326728064 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

License✔ Licensed in TX · 1129006

5028 122ND ST, Lubbock, TX 79424

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Secondary Practice Location 1

Location 16002 Slide Rd # D24Lubbock, TX 79414-4310 · Phone (806) 761-0450 · Fax (806) 796-7259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kylie Brock 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 79424 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 8

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

JENNIFER ANNE PROFFITT PA-C

Physician Assistant