MRS. KIMBERLY ANNE HANSEN RN, CFNP
NPI 1699774422
Nurse Practitioner - Family in Wichita Falls, TX
About Mrs. Kimberly Anne Hansen Rn, Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KIMBERLY ANNE HANSEN RN, CFNP (NPI 1699774422) is an individual family provider in Wichita Falls, Texas, licensed in Texas (570268) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wichita Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kimberly Anne Hansen Rn, Cfnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Hansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wichita Falls, TX 76301
- Reassigned Medicare billing, Texas enrollment
- 20 clinicians in this Medicare group
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 76302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WICHITA FALLS, TX 76302
WICHITA FALLS, TX 76302
WICHITA FALLS, TX 76302
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 Hansen's NPI number?
The NPI number for Kimberly Hansen is 1699774422. It was assigned to this individual provider in the NPPES registry on July 14, 2005.
Where is Kimberly Hansen located?
Kimberly Hansen practices at 501 Midwestern Pkwy E, Wichita Falls, TX 76302. The listed phone number is (940) 763-7835.
What is Kimberly Hansen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Hansen enrolled in Medicare?
Yes. Kimberly Hansen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Hansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hansen reassigns Medicare benefits to Little Black Bag House Calls LLC (Wichita Falls, 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 Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Hansen was last updated on March 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.
# Mrs. Kimberly Anne Hansen, RN, CFNP · NPI 1699774422
Family physician in Wichita Falls, Texas. Individual provider, active in the CMS NPPES registry since July 14, 2005.
## Identity
- **NPI:** 1699774422 (Entity type: Individual)
- **Enumerated:** July 14, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 570268 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 501 MIDWESTERN PKWY E, Wichita Falls, TX 76302-2302
- **Phone:** (940) 763-7835 · **Fax:** (940) 766-8711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Little Black Bag House Calls LLC (NPI 1376078881, Wichita Falls, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 1530834-01 (TX); Other S0133086 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1699774422) · Data from the CMS NPPES public registry.