KIM T LE – Nurse Practitioner, NPI 1346994183

KIM T LE is a healthcare provider. based in Gulfport, Mississippi. specializing in NURSE PRACTITIONER. They hold a License No. 905128 (MS). The NPI Number for KIM T LE is 1346994183

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KIM T LE
NPI
1346994183
Phone
(601) 456-5100
Address
1240 Broad Ave Ste B
Enumeration Date
10 February 2022
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2282363872
Graduation Year
2021 (5 years ago)
PAC ID
3173917770
Group Practice PAC ID
7719223957
Professional Enrollment ID
I20220224001833
Address ID
MS395012515GU4500XSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

4,586 NURSE PRACTITIONER in MS

Provider Addresses for KIM T LE

  • 1240 Broad Ave Ste B

    Gulfport, MS 395012416

    Phone: (601) 456-5100

    Type: Location

  • PO BOX 1810

    GULFPORT, MS 395021810

    Phone: (228) 575-1194

    Fax: (228) 575-2917

    Type: Mailing

  • 4500 13TH ST

    GULFPORT, MS 395012569

    Phone: (228) 867-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,378.

Total Amount is formed as General ($1,378) + Research ($0) + Ownership ($0) = $1,378.

Last reported payment date: 2024-09-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($300).

Total Amount

$1,378

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,378

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220224001833INurse PractitionerMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes150139$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4629$0
View full utilization report →

Insurance plans in this area (ZIP 39501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719223957View full group profile
NameSpecialtyState
Nurse PractitionerMS
Physician AssistantMS
Nurse PractitionerMS
Internal Medicine, Hospitalist, Internal MedicineMS
Nurse PractitionerMS
Nurse PractitionerMS
Internal Medicine, Physical Medicine And RehabilitationMS
Nurse PractitionerMS
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify KIM T LE for billing?
Administrative and clinical systems typically use NPI 1346994183 for KIM T LE.
Is KIM T LE currently accepting referrals based on NPI status?
Registry metadata lists KIM T LE as active.
Which specialty label fits KIM T LE?
NPPES ties KIM T LE to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIM T LE?
KIM T LE is associated with Gulfport, Mississippi in the same public data insurers reference.
Can I export KIM T LE's record?
You can download the official NPPES record; we summarize key fields for readability.

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