SANDRA KINGSBURY (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1134821036

SANDRA KINGSBURY (AGACNP-BC) is a healthcare provider. based in Fort worth, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 1110703 (TX). The NPI Number for SANDRA KINGSBURY (AGACNP-BC) is 1134821036

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA KINGSBURY (AGACNP-BC)
NPI
1134821036
Phone
(817) 284-9225
Address
3025 N. Tarrant Parkway
Enumeration Date
22 March 2023
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8172849225
Graduation Year
2022 (4 years ago)
PAC ID
5193184646
Group Practice PAC ID
4880842632
Professional Enrollment ID
I20230701000037
Address ID
TX761778630FT3025XPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for SANDRA KINGSBURY (AGACNP-BC)

  • 3025 N. Tarrant Parkway

    Ste #350

    Fort Worth, TX 76177

    Phone: (817) 284-9225

    Type: Location

  • 7505 GLENVIEW DRIVE, SUITE G

    NORTH RICHLAND HILLS, TX 76180

    Phone: (817) 284-9225

    Fax: (817) 590-0079

    Type: Mailing

  • 1300 W TERRELL AVE STE K230

    FORT WORTH, TX 761043104

    Phone: (817) 250-4906

    Fax: (817) 250-1815

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 245 Open Payments records for all available years, with a total value of $7,546.

Total Amount is formed as General ($7,546) + Research ($0) + Ownership ($0) = $7,546.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,762).

Total Amount

$7,546

General + Research + Ownership

Payments

245

Total payment records

General Amount

$7,546

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2023-07-01

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
I20230701000037INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes5243$0
99213Established patient office or other outpatient visit, 20-29 minutes5144$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 76177)

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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: 4880842632View full group profile
NameSpecialtyState
Nurse PractitionerTX
Pulmonary Disease, Sleep MedicineTX
Nurse PractitionerTX
Critical Care (Intensivists), Pulmonary DiseaseTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is SANDRA KINGSBURY (AGACNP-BC) listed with a National Provider Identifier?
Yes — SANDRA KINGSBURY (AGACNP-BC) has NPI 1134821036 on file in the registry.
Active or inactive — what applies to SANDRA KINGSBURY (AGACNP-BC)?
You should see SANDRA KINGSBURY (AGACNP-BC) as active in CMS-hosted NPPES data.
How would a patient describe SANDRA KINGSBURY (AGACNP-BC)'s focus?
For SANDRA KINGSBURY (AGACNP-BC), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SANDRA KINGSBURY (AGACNP-BC)?
Travel planning: use Fort Worth, Texas as the reference point for SANDRA KINGSBURY (AGACNP-BC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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