MRS. KIMBERLY DENISE PRINCE APRN, FNP-C
NPI 1780205427
Nurse Practitioner - Family in Longview, TX

Q: What is Kimberly Prince's NPI number?

The NPI number for Kimberly Prince is 1780205427. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Q: What is Kimberly Prince'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 Kimberly Prince was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 05, 2020PECOS Enrolled

1107 E MARSHALL AVE, LONGVIEW, TX 75601(903) 758-2610(903) 212-7689 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 26, 2024, Oct 22, 2020, May 5, 2020 (3 updates tracked since 2020).

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About Mrs. Kimberly Denise Prince Aprn, Fnp-c NPPES

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

MRS. KIMBERLY DENISE PRINCE APRN, FNP-C (NPI 1780205427) is an individual family provider in Longview, Texas, licensed in Texas (AP145974) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780205427

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KIMBERLY DENISE PRINCECredential: APRN, FNP-C

Location Address1107 E MARSHALL AVELongview, TX 75601-5602

Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 212-7689

Phone(903) 758-2610

Fax(903) 212-7689

Sole ProprietorNo

Enumeration DateMay 5, 2020

Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1780205427 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 · AP145974

1107 E MARSHALL AVE, Longview, TX 75601

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Other Identifiers 1

OtherAP145974TX · Texas Board Of Nurses

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Mrs. Kimberly Denise Prince Aprn, Fnp-c 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.

Medicare Billing Reassignment

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

Longview Wellness Center, Inc

Same address

Federally Qualified Health Center (FQHC)

1107 E MARSHALL AVE
Longview, TX 75601

Reassigned Medicare billing, Texas enrollment
127 clinicians in this Medicare group

NPI 1942269493 (903) 758-2610

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 75601 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 20

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

LIZETH GARCIA RN

Registered Nurse (Case Management)