KIMBERLY ANN HANEBRINK (PA-C) – Physician Assistant, NPI 1164796926

KIMBERLY ANN HANEBRINK (PA-C) is a healthcare provider. based in Webster, Texas. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA08501 (TX). The NPI Number for KIMBERLY ANN HANEBRINK (PA-C) is 1164796926

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN HANEBRINK (PA-C)
NPI
1164796926
Phone
(281) 332-4575
Address
17099 N TEXAS AVE
Enumeration Date
26 February 2012
Last Update Date
23 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2813324575
Graduation Year
2011 (15 years ago)
PAC ID
2365602810
Group Practice PAC ID
2769559079
Professional Enrollment ID
I20140118000110
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY ANN HANEBRINK (PA-C)

  • 17099 N TEXAS AVE

    STE. 200

    WEBSTER, TX 775984069

    Phone: (281) 332-4575

    Fax: (281) 554-4722

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Biogen, Inc. ($75).

Total Amount

$156

General + Research + Ownership

Payments

7

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-01-18

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
I20140118000110IPhysician AssistantTXTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes10574$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or4124$0
View full utilization report →

Insurance plans in this area (ZIP 77598)

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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: 2769559079View full group profile
NameSpecialtyState
Qualified AudiologistTX
Physician AssistantTX
O T O L A R Y N G O L O G YTX
Otolaryngology, Plastic And Reconstructive SurgeryTX

Reviews

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Frequently asked questions

Does KIMBERLY ANN HANEBRINK (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY ANN HANEBRINK (PA-C) uses 1164796926.
Does the file indicate KIMBERLY ANN HANEBRINK (PA-C) is practicing under active NPI?
Directory data currently reports KIMBERLY ANN HANEBRINK (PA-C) as active.
What healthcare role does KIMBERLY ANN HANEBRINK (PA-C) hold?
Scheduling teams often label KIMBERLY ANN HANEBRINK (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY ANN HANEBRINK (PA-C) on a map?
Expect Webster, Texas as a primary anchor for KIMBERLY ANN HANEBRINK (PA-C) unless the record lists multiple sites.
Why does KIMBERLY ANN HANEBRINK (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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