KIMBERLY KIELE INGEBREDTSEN PMHNP-BC
NPI 1356919807
Nurse Practitioner - Psychiatric/Mental Health in Pearland, TX

Q: What is Kimberly Ingebredtsen's NPI number?

The NPI number for Kimberly Ingebredtsen is 1356919807. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Kimberly Ingebredtsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since June 11, 2021PECOS Enrolled

6302 BROADWAY ST STE 130, PEARLAND, TX 77581(202) 669-1693 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Jun 11, 2021 (2 updates tracked since 2021).

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About Kimberly Kiele Ingebredtsen Pmhnp-bc NPPES

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

KIMBERLY KIELE INGEBREDTSEN PMHNP-BC (NPI 1356919807) is an individual psychiatric/mental health provider in Pearland, Texas, licensed in Texas (1205976) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356919807

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKIMBERLY KIELE INGEBREDTSENCredential: PMHNP-BC

Location Address6302 BROADWAY ST STE 130Pearland, TX 77581-7859

Mailing Address6302 Broadway St Ste 130Pearland, TX 77581-7859 · (202) 669-1693

Phone(202) 669-1693

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 11, 2021

Last NPPES UpdateAugust 28, 20252 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1356919807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1205976

6302 BROADWAY ST STE 130, Pearland, TX 77581

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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)

Kimberly Kiele Ingebredtsen Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830684406

PECOS Enrollment IDI20251219003946

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 77581 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

$88.15 typical visit price

range $57.16 – $172.89

Typical copayment $22.03 (range $14.29 – $43.22)

Most-billed visit code 99203

Established Patient

$100.84 typical visit price

range $18.45 – $141.27

Typical copayment $25.21 (range $4.61 – $35.31)

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 12

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

VITALITY CARE LLC

Nurse Practitioner (Family)