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KIMBERLY MCCOLLUM
NPI 1922684364
Nurse Practitioner - Women's Health in San Antonio, TX

Active since March 23, 2021PECOS Enrolled
1202 E SONTERRA BLVD STE 102, SAN ANTONIO, TX 78258(210) 305-5075 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 18, 2021, Mar 23, 2021 (2 updates tracked since 2021).

About Kimberly Mccollum NPPES

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

KIMBERLY MCCOLLUM (NPI 1922684364) is an individual women's health provider in San Antonio, Texas, licensed in Texas (818597) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922684364
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKIMBERLY MCCOLLUM
Location Address1202 E SONTERRA BLVD STE 102San Antonio, TX 78258-4238
Mailing Address1202 E Sonterra Blvd Ste 102San Antonio, TX 78258-4238 · (210) 305-5075
Phone(210) 305-5075
Sole ProprietorYes
Enumeration DateMarch 23, 2021
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
✔ NPI 1922684364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · 818597
1202 E SONTERRA BLVD STE 102, San Antonio, TX 78258
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mccollum 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 78258 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

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

MISKELL HEALTHCARE PA
Obstetrics & Gynecology (Gynecology)
1202 E SONTERRA BLVD STE 102
SAN ANTONIO, TX 78258
Bexar County (210) 305-5077

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 Mccollum's NPI number?

The NPI number for Kimberly Mccollum is 1922684364. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Where is Kimberly Mccollum located?

Kimberly Mccollum practices at 1202 E Sonterra Blvd Ste 102, San Antonio, TX 78258. The listed phone number is (210) 305-5075.

What is Kimberly Mccollum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kimberly Mccollum enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Mccollum was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.