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

Active since April 07, 2023PECOS EnrolledAccepts Medicare Assignment
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: August 23, 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 and is a graduate of Other (2022).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
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

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

Kimberly Sue Mitchell Fnp-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 ID7214394766
PECOS Enrollment IDI20230529000125
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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 2 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.