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KIMBERLEY KAY MULLENS FNP-C
NPI 1407467624
Nurse Practitioner - Family in Fort Worth, TX

Active since August 11, 2020PECOS EnrolledAccepts Medicare Assignment
504 GREEN RIVER TRAIL, FORT WORTH, TX 76103(817) 944-1454(877) 308-6318 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2021, Aug 11, 2020 (2 updates tracked since 2020).

About Kimberley Kay Mullens Fnp-c NPPES

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

KIMBERLEY KAY MULLENS FNP-C (NPI 1407467624) is an individual family provider in Fort Worth, Texas, licensed in Texas (1003351) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407467624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLEY KAY MULLENSCredential: FNP-C
Location Address504 GREEN RIVER TRAILFort Worth, TX 76103
Mailing Address504 Green River TrailFort Worth, TX 76103 · (817) 733-2683
Phone(817) 944-1454
Fax(877) 308-6318
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 11, 2020
Last NPPES UpdateApril 5, 20212 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1407467624 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 · 1003351
504 GREEN RIVER TRAIL, Fort Worth, TX 76103
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 Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberley Kay Mullens Fnp-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 ID7719304302
PECOS Enrollment IDI20200827001561
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberley Mullens reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healing Limbs PLLC
Same address
Family
504 GREEN RIVER TRL
Fort Worth, TX 76103
  • Reassigned Medicare billing, Texas enrollment
NPI 1255936795 (877) 427-2407
Pro Healthcare LLC
23 mi
Adult Health
1420 VALWOOD PKWY, SUITE NO. 20-170A
Carrollton, TX 75006
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1225479959 (972) 584-7616

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

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.
307 services34 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
37 services15 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76103 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims240 services$9.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kimberley Mullens's NPI number?

The NPI number for Kimberley Mullens is 1407467624. It was assigned to this individual provider in the NPPES registry on August 11, 2020.

Where is Kimberley Mullens located?

Kimberley Mullens practices at 504 Green River Trail, Fort Worth, TX 76103. The listed phone number is (817) 944-1454.

What is Kimberley Mullens's specialty?

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

Is Kimberley Mullens enrolled in Medicare?

Yes. Kimberley Mullens 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.

Which organizations bill Medicare for Kimberley Mullens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Mullens reassigns Medicare benefits to 2 organizations: Healing Limbs PLLC (Fort Worth, TX) and Pro Healthcare LLC (Carrollton, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberley Mullens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberley Mullens accept?

Health plans from Blue Cross and Blue Shield of Texas list Kimberley Mullens 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.

Is Kimberley Mullens affiliated with any hospitals?

According to CMS data, Kimberley Mullens is affiliated with Baylor Scott & White All Saints Medical Center Fort Worth.

When was this NPI record last updated?

The NPPES record for Kimberley Mullens was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.