KIMBERLY DONELSON CPNP
NPI 1750537767
Nurse Practitioner - Pediatrics in Shreveport, LA
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
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Donelson Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kimberly Donelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 174 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 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.
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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.
Which organizations bill Medicare for Kimberly Donelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Donelson reassigns Medicare benefits to 2 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA) and University Health Shreveport LLC (Shreveport, LA). Each 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 Donelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.
# Kimberly Donelson, CPNP · NPI 1750537767
Pediatrics physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since August 9, 2008.
## Identity
- **NPI:** 1750537767 (Entity type: Individual)
- **Enumerated:** August 9, 2008
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN089397 AP05554 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 KINGS HWY, DEPARTMENT OF PEDIATRICS, Shreveport, LA 71103-4228
- **Phone:** (318) 675-6093 · **Fax:** (318) 675-8832
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); University Health Shreveport LLC (NPI 1619443611, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2011
- **Other identifiers:** Medicaid 1316865 (LA); Other 3A776F600 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1750537767) · Data from the CMS NPPES public registry.