MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1063157576

MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) is a healthcare provider. based in Mansfield, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 1076075 (TX). The NPI Number for MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) is 1063157576

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC)
NPI
1063157576
Phone
(214) 960-5681
Address
2700 E Broad St
Enumeration Date
29 April 2022
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
214960568175
Graduation Year
2021 (5 years ago)
PAC ID
3173907383
Group Practice PAC ID
2163679200
Professional Enrollment ID
I20220907000020
Address ID
TX752082312DA221XXBLVD412
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC)

  • 2700 E Broad St

    Mansfield, TX 760635899

    Phone: (214) 960-5681

    Type: Location

  • 111 VINSON LN

    RED OAK, TX 751547029

    Phone: (214) 577-9314

    Type: Mailing

  • 221 W COLORADO BLVD STE 525

    DALLAS, TX 752082312

    Phone: (214) 956-4525

    Fax: (214) 960-5681

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Solventum Corporation ($115).

Total Amount

$115

General + Research + Ownership

Payments

1

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Solventum Corporation$115
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: 2022-09-07

PECOS data refreshed: 2026-05-27

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
I20220907000020INurse PractitionerTXTBD

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
99291Critical care, first 30-74 minutes4638$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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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: 2163679200View full group profile
NameSpecialtyState
Nurse PractitionerTX
Neurology, Critical Care (Intensivists)TX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerOR
Nurse PractitionerAL
Critical Care (Intensivists), Pulmonary DiseaseTX
Internal Medicine, Critical Care (Intensivists), Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

Can I verify MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) with an NPI only?
You can start verification with NPI 1063157576 for MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC), then check state licensing separately.
Can I rely on MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) being an active provider?
As of the registry snapshot, MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) is marked active.
What taxonomy line describes MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC)?
For research purposes, treat MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) on a map?
Expect Mansfield, Texas as a primary anchor for MRS. KIMBERLY RENEE CLINE WALKER (AGACNP-BC) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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