KIRBY WILCOXSON FNP
NPI 1477087575
Nurse Practitioner - Family in Longview, TX

Q: What is Kirby Wilcoxson's NPI number?

The NPI number for Kirby Wilcoxson is 1477087575. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Q: What is Kirby Wilcoxson'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 Kirby Wilcoxson was last updated on September 15, 2022. 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.

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment

3133 GOOD SHEPHERD WAY, LONGVIEW, TX 75605(903) 315-4422 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, Jan 18, 2021, Jul 3, 2017 and 1 more (4 updates tracked since 2017).

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About Kirby Wilcoxson Fnp NPPES

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

KIRBY WILCOXSON FNP (NPI 1477087575) is an individual family provider in Longview, Texas, licensed in Texas (1086576) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains a secondary practice location in Goshen.

NPPES Registry Identity

NPI1477087575

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIRBY WILCOXSONCredential: FNP

Location Address3133 GOOD SHEPHERD WAYLongview, TX 75605-7921

Mailing Address3133 Good Shepherd WayLongview, TX 75605-7921

Phone(903) 315-4422

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 14, 2017

Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2022

✔ NPI 1477087575 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

Licenses✔ Licensed in TX · 1086576✔ Licensed in IN · 71007233A

3133 GOOD SHEPHERD WAY, Longview, TX 75605

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Secondary Practice Location 1

Location 11824 Dorchester Ct Ste AGoshen, IN 46526-6819 · Phone (574) 535-2548

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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

Kirby Wilcoxson Fnp 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 ID345519229

PECOS Enrollment IDI20220927001137

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

68 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

24 services24 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

23 services22 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Christus Good Shepherd Medical Center

Acute Care Hospitals · Longview, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450032

Location700 E Marshall AveLongview, TX 75601 · Gregg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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 13

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

MRS. KRISTEL JUNE FREDERICKS MS, RD, LD

Dietitian, Registered