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KIMBERLY COFFEE AGPCNP
NPI 1689565939
Nurse Practitioner - Adult Health in Colleyville, TX

Active since July 14, 2025PECOS EnrolledAccepts Medicare Assignment
5800 QUAILS PATH, COLLEYVILLE, TX 76034(817) 915-8232 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Coffee Agpcnp NPPES

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

KIMBERLY COFFEE AGPCNP (NPI 1689565939) is an individual adult health provider in Colleyville, Texas, licensed in Texas (1203025) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689565939
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKIMBERLY COFFEECredential: AGPCNP
Location Address5800 QUAILS PATHColleyville, TX 76034-7512
Mailing Address5800 Quails PathColleyville, TX 76034-7512 · (817) 915-8232
Phone(817) 915-8232
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1689565939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 1203025
5800 QUAILS PATH, Colleyville, TX 76034
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc. 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 and accepts Medicare assignment

Kimberly Coffee Agpcnp 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 ID2860993300
PECOS Enrollment IDI20250827003823
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 Reassignment

Medicare enrollment records show Kimberly Coffee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Superior Healthcare Services LLC
12 mi
Family Medicine
512 W BONDS RANCH RD STE 150
Fort Worth, TX 76131
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1689262941 (817) 488-6369

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 76034 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 Coffee's NPI number?

The NPI number for Kimberly Coffee is 1689565939. It was assigned to this individual provider in the NPPES registry on July 14, 2025.

Where is Kimberly Coffee located?

Kimberly Coffee practices at 5800 Quails Path, Colleyville, TX 76034. The listed phone number is (817) 915-8232.

What is Kimberly Coffee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Coffee enrolled in Medicare?

Yes. Kimberly Coffee 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 organization bills Medicare for Kimberly Coffee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Coffee reassigns Medicare benefits to Superior Healthcare Services LLC (Fort Worth, TX). The 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 Coffee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Coffee accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare list Kimberly Coffee 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 Coffee was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.