KIMBERLY D PARKS (CNM) – Advanced Practice Midwife, NPI 1033457288
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
200 CERTIFIED NURSE MIDWIFE (CNM) in TX
Provider Addresses for KIMBERLY D PARKS (CNM)
3900 JOE RAMSEY BLVD E STE E
GREENVILLE, TX 754017770
Phone: (903) 454-1722
Fax: (903) 454-1750
Type: Location
1046 MAR WALT DR STE 200
FORT WALTON BEACH, FL 325476645
Phone: (850) 243-2229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141217002373 | I | Certified Nurse Midwife (Cnm) | TX | TBD |
| I20260123001333 | I | Certified Nurse Midwife (Cnm) | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Certified Nurse Midwife (Cnm) | AE | |
| Certified Nurse Midwife (Cnm) | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| Certified Nurse Midwife (Cnm) | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Obstetrics/Gynecology, Family Practice | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL |
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