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KIMBERLY SUE MITCHELL FNP-C
NPI 1578258307
Nurse Practitioner - Family in Portland, TX

Active since April 07, 2023PECOS Enrolled
1700 WILDCAT DR STE B, PORTLAND, TX 78374(361) 704-6368 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Sue Mitchell Fnp-c NPPES

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

KIMBERLY SUE MITCHELL FNP-C (NPI 1578258307) is an individual family provider in Portland, Texas, licensed in Texas (1097231) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578258307
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY SUE MITCHELLCredential: FNP-C
Location Address1700 WILDCAT DR STE BPortland, TX 78374-2838
Mailing Address5014 County Road 2015Odem, TX 78370-4497
Phone(361) 704-6368
Sole ProprietorNo
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1578258307 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 · 1097231
1700 WILDCAT DR STE B, Portland, TX 78374
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Sue Mitchell Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kimberly Mitchell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Total Care, LLC
20 mi
Family Medicine
14254 SPID DR STE 207
Corpus Christi, TX 78418
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1063928273 (361) 884-2904
Access Urgent Care-Kingsville LLC
42 mi
Urgent Care
401 E KING AVE
Kingsville, TX 78363
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1679052666 (361) 884-2904

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78374 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.

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 Kimberly Mitchell's NPI number?

The NPI number for Kimberly Mitchell is 1578258307. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Kimberly Mitchell located?

Kimberly Mitchell practices at 1700 Wildcat Dr Ste B, Portland, TX 78374. The listed phone number is (361) 704-6368.

What is Kimberly Mitchell's specialty?

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

Is Kimberly Mitchell enrolled in Medicare?

Yes. Kimberly Mitchell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mitchell reassigns Medicare benefits to 2 organizations: Access Total Care, LLC (Corpus Christi, TX) and Access Urgent Care-Kingsville LLC (Kingsville, 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 Kimberly Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Mitchell accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kimberly Mitchell 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 Kimberly Mitchell was last updated on April 7, 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.