MISS KIMBERLY ANNE WYATT PA-C
NPI 1538490297
Physician Assistant - Medical in Longview, TX

Q: What is Kimberly Wyatt's NPI number?

The NPI number for Kimberly Wyatt is 1538490297. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Q: What is Kimberly Wyatt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wyatt was last updated on May 2, 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.

Active since January 20, 2010PECOS EnrolledAccepts Medicare Assignment

709 HOLLYBROOK DR STE 4500, LONGVIEW, TX 75605(903) 291-6287(903) 291-6286 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Miss Kimberly Anne Wyatt Pa-c NPPES

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

MISS KIMBERLY ANNE WYATT PA-C (NPI 1538490297) is an individual medical provider in Longview, Texas, licensed in Texas (1091066) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1538490297

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS KIMBERLY ANNE WYATTCredential: PA-C

Location Address709 HOLLYBROOK DR STE 4500Longview, TX 75605-2412

Mailing Address709 Hollybrook Dr Ste 4500Longview, TX 75605-2412 · (903) 291-6287 · Fax (903) 291-6286

Phone(903) 291-6287

Fax(903) 291-6286

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 20, 2010

Last NPPES UpdateMay 2, 2023

NPPES CertifiedMay 2, 2023

✔ NPI 1538490297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · 1091066

709 HOLLYBROOK DR STE 4500, Longview, TX 75605

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Other Identifiers 1

Other1091066TX · Nccpa Certification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Miss Kimberly Anne Wyatt Pa-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 ID2961530837

PECOS Enrollment IDI20100513000713

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 9

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.

2,340 services38 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.

199 services154 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.

183 services143 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.

158 services146 patients

Red blood cell sedimentation rate, to detect inflammation, automated 85652

The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.

146 services112 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

146 services112 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

Other Providers at the Same Location NPPES 12

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

JENNIFER BLAIR GARRETT BENSON PA-C

Physician Assistant (Medical)