KALEY MIMS CAA
NPI 1467142059
Anesthesiologist Assistant in Shenandoah, TX

Active since May 09, 2023Accepts Medicare Assignment
9250 PINECROFT DR, SHENANDOAH, TX 77380(215) 908-3820 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaley Mims Caa NPPES

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

KALEY MIMS CAA (NPI 1467142059) is an individual anesthesiologist assistant in Shenandoah, Texas and active in the NPI registry since May 2023. She is affiliated with Memorial Hermann Northeast Hospital and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467142059
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKALEY MIMSCredential: CAA
Location Address9250 PINECROFT DRShenandoah, TX 77380-3218
Mailing Address27602 Balcones Heights BlvdFulshear, TX 77441-1570
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1467142059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
9250 PINECROFT DR, Shenandoah, TX 77380

Accepted 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

Kaley Mims Caa 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 ID4183088941
PECOS Enrollment IDI20230912002187

Medicare Billing Reassignment

Medicare enrollment records show Kaley Mims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
1500 CITYWEST BLVD, SUITE 300
Houston, TX 77042
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
  • 3,804 clinicians in this Medicare group

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services15 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
17 services17 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Memorial Hermann Surgical Hospital Kingwood

Acute Care Hospitals · Kingwood, TX
OwnershipProprietary
CMS Certification Number670005
Location300 Kingwood Medical DriveKingwood, TX 77339 · Harris County
Emergency services

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
9250 PINECROFT DR
SHENANDOAH, TX 77380
Physical Therapy Assistant
9250 PINECROFT DR
SHENANDOAH, TX 77380
Emergency Medicine
9250 PINECROFT DR
SHENANDOAH, TX 77380
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Nurse Practitioner
9250 PINECROFT DR
THE WOODLANDS, TX 77380
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9250 PINECROFT DR, DEPARTMENT OF PHARMACY
SHENANDOAH, TX 77380
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380

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 Kaley Mims's NPI number?

The NPI number for Kaley Mims is 1467142059. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Kaley Mims located?

Kaley Mims practices at 9250 Pinecroft Dr, Shenandoah, TX 77380. The listed phone number is (215) 908-3820.

What is Kaley Mims's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kaley Mims enrolled in Medicare?

Yes. Kaley Mims 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 organization bills Medicare for Kaley Mims's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Mims reassigns Medicare benefits to U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX). The 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 Kaley Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaley Mims accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Kaley Mims 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 Kaley Mims affiliated with any hospitals?

According to CMS data, Kaley Mims is affiliated with Memorial Hermann Northeast Hospital and Memorial Hermann Surgical Hospital Kingwood.

When was this NPI record last updated?

The NPPES record for Kaley Mims was last updated on May 9, 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.