KIMBERLY DONELSON CPNP
NPI 1750537767
Nurse Practitioner - Pediatrics in Shreveport, LA

Active since August 09, 2008PECOS Enrolled
1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, SHREVEPORT, LA 71103(318) 675-6093(318) 675-8832 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Donelson Cpnp NPPES

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

KIMBERLY DONELSON CPNP (NPI 1750537767) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (RN089397 AP05554) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750537767
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKIMBERLY DONELSONCredential: CPNP
Location Address1501 KINGS HWY, DEPARTMENT OF PEDIATRICSShreveport, LA 71103-4228
Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 675-7636 · Fax (318) 675-7531
Fax(318) 675-8832
Sole ProprietorNo
Enumeration DateAugust 9, 2008
Last NPPES UpdateOctober 14, 2011
NPI 1750537767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in LA · RN089397 AP05554
1501 KINGS HWY, Shreveport, LA 71103

Other Identifiers 2

Medicaid1316865LA
Other3A776F600LA · Medicare - Ptan

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 (PECOS)

Kimberly Donelson Cpnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

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

General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103

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 Donelson's NPI number?

The NPI number for Kimberly Donelson is 1750537767. It was assigned to this individual provider in the NPPES registry on August 9, 2008.

Where is Kimberly Donelson located?

Kimberly Donelson practices at 1501 Kings Hwy Department Of Pediatrics, Shreveport, LA 71103. The listed phone number is (318) 675-6093.

What is Kimberly Donelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kimberly Donelson enrolled in Medicare?

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

What insurance does Kimberly Donelson accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kimberly Donelson 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 Donelson was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.