KATIE JO KMIECIK FNP
NPI 1629461280
Nurse Practitioner - Family in Porter, TX

Q: What is Katie Kmiecik's NPI number?

The NPI number for Katie Kmiecik is 1629461280. It was assigned to this individual provider in the NPPES registry on March 6, 2015. The provider is also known as Miss Katie Jo Gaffney Rn.

Q: What is Katie Kmiecik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katie Kmiecik was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 06, 2015PECOS Enrolled

23865 FM 1314 RD, PORTER, TX 77365(281) 354-1815 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2022, Sep 1, 2022, Aug 20, 2018 (3 updates tracked since 2018).

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About Katie Jo Kmiecik Fnp NPPES

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

KATIE JO KMIECIK FNP (NPI 1629461280) is an individual family provider in Porter, Texas, licensed in Texas (1107048) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629461280

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE JO KMIECIKCredential: FNP

Location Address23865 FM 1314 RDPorter, TX 77365-3727

Mailing Address23865 Fm 1314 RdPorter, TX 77365-3727 · (281) 354-1815

Phone(281) 354-1815

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 6, 2015

Last NPPES UpdateDecember 27, 20233 updates tracked since enumeration

NPPES CertifiedDecember 27, 2023

✔ NPI 1629461280 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 · 1107048

23865 FM 1314 RD, Porter, TX 77365

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Other Names 1

Former Name (1)Miss Katie Jo Gaffney Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Jo Kmiecik Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810215688

PECOS Enrollment IDI20240302000037

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 3

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 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.

23 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

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.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77365 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.

Other Providers at the Same Location NPPES 15

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

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Pharmacist