KIMLY A VAULT FNP
NPI 1508811126
Nurse Practitioner - Family in Dallas, TX

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
5303 HARRY HINES BLVD, SUITE 108, DALLAS, TX 75390(214) 645-2900(214) 645-2902 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimly A Vault Fnp NPPES

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

KIMLY A VAULT FNP (NPI 1508811126) is an individual family provider in Dallas, Texas, licensed in Texas (AP110250) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1508811126
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMLY A VAULTCredential: FNP
Location Address5303 HARRY HINES BLVD, SUITE 108Dallas, TX 75390-7208
Mailing Address5303 Harry Hines Blvd, Suite 108Dallas, TX 75390-7208 · (214) 645-2900 · Fax (214) 645-2902
Fax(214) 645-2902
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 5, 2016
✔ NPI 1508811126 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 · AP110250
5303 HARRY HINES BLVD, Dallas, TX 75390

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

Kimly A Vault 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 ID5991854028
PECOS Enrollment IDI20090520000620
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

5

Medicare enrollment records show Kimly Vault reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3600 GASTON AVE STE 550
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
Family Medicine
6243 RETAIL RD STE 500
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
Urgent Care
3304 ALMA DR
Plano, TX 75023
  • Reassigned Medicare billing, Texas enrollment
  • 77 clinicians in this Medicare group
Urgent Care
900 N AUSTIN AVE, STE 105
Georgetown, TX 78626
  • Reassigned Medicare billing, Texas enrollment
  • 241 clinicians in this Medicare group
Urgent Care
3802 CATCLAW DR
Abilene, TX 79606
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Nextcare Primary Care Tx PLLC
  • 44 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

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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

Audiologist
5303 HARRY HINES BLVD, DEPARTMENT OF OTOLARYNGOLOGY
DALLAS, TX 75390
Psychiatry & Neurology (Epilepsy)
5303 HARRY HINES BLVD
DALLAS, TX 75390
Psychiatry & Neurology (Neurology)
5303 HARRY HINES BLVD
DALLAS, TX 75390
Psychiatry & Neurology (Neurology)
5303 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5303 HARRY HINES BLVD
DALLAS, TX 75390
Ophthalmology
5303 HARRY HINES BLVD, 6TH FLOOR
DALLAS, TX 75390
Ophthalmology (Neuro-ophthalmology)
5303 HARRY HINES BLVD
DALLAS, TX 75390
Psychiatry & Neurology (Neurology)
5303 HARRY HINES BLVD
DALLAS, TX 75390

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 Kimly Vault's NPI number?

The NPI number for Kimly Vault is 1508811126. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Kimly Vault located?

Kimly Vault practices at 5303 Harry Hines Blvd Suite 108, Dallas, TX 75390. The listed phone number is (214) 645-2900.

What is Kimly Vault's specialty?

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

Is Kimly Vault enrolled in Medicare?

Yes. Kimly Vault 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 Kimly Vault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimly Vault reassigns Medicare benefits to 5 organizations: Healthtexas Provider Network (Dallas, TX), Sinsote Medical Care PLLC (Dallas, TX), Primamed Physicians PLLC (Plano, TX), Ucp Physicians Of Central Texas, PLLC (Georgetown, TX) and Nextcare Primary Care Texas PLLC (Abilene, 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 Kimly Vault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimly Vault accept?

Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and Imperial Insurance Companies, Inc. list Kimly Vault 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.

When was this NPI record last updated?

The NPPES record for Kimly Vault was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.