KYMBERLI KAY MCCLAIN FNP
NPI 1487095717
Nurse Practitioner - Family in Austin, TX

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
12221 N MOPAC EXPY, AUSTIN, TX 78758(512) 901-4005(512) 901-3905 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Sep 1, 2017, Jul 20, 2017 (3 updates tracked since 2017).

About Kymberli Kay Mcclain Fnp NPPES

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

KYMBERLI KAY MCCLAIN FNP (NPI 1487095717) is an individual family provider in Austin, Texas, licensed in Texas (AP123994) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with North Austin Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487095717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKYMBERLI KAY MCCLAINCredential: FNP
Location Address12221 N MOPAC EXPYAustin, TX 78758-2401
Mailing Address12221 N Mopac ExpyAustin, TX 78758-2401 · (512) 901-4005 · Fax (512) 901-3945
Fax(512) 901-3905
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1487095717 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 · AP123994
12221 N MOPAC EXPY, Austin, TX 78758

Other Identifiers 1

Medicaid372657201TX

Accepted 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

Kymberli Kay Mcclain 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 ID6305165440
PECOS Enrollment IDI20170720001742
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 17

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,160 services32 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.
383 services294 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
273 services195 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
252 services188 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
169 services127 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
146 services117 patients

Hospital Affiliations CMS Care Compare

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

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers40 claims156 services$5.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers24 claims63 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers39 claims39 services$180.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Speech-Language Pathologist
12221 N MOPAC EXPY
AUSTIN, TX 78758
Occupational Therapist (Physical Rehabilitation)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Nurse Anesthetist, Certified Registered
12221 N MOPAC EXPY
AUSTIN, TX 78758
Emergency Medicine
12221 N MOPAC EXPY
AUSTIN, TX 78758
Internal Medicine (Interventional Cardiology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Psychiatry & Neurology (Neurology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Obstetrics & Gynecology
12221 N MOPAC EXPY
AUSTIN, TX 78758

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 Kymberli Mcclain's NPI number?

The NPI number for Kymberli Mcclain is 1487095717. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Kymberli Mcclain located?

Kymberli Mcclain practices at 12221 N Mopac Expy, Austin, TX 78758. The listed phone number is (512) 901-4005.

What is Kymberli Mcclain's specialty?

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

Is Kymberli Mcclain enrolled in Medicare?

Yes. Kymberli Mcclain 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.

What insurance does Kymberli Mcclain accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Kymberli Mcclain 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 Kymberli Mcclain affiliated with any hospitals?

According to CMS data, Kymberli Mcclain is affiliated with North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Kymberli Mcclain was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.