HOLLY ELAINE KIMBALL (AGPCNP) – Gerontology Nurse Practitioner, NPI 1174057855
Gerontology Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
191 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in TX
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Provider Addresses for HOLLY ELAINE KIMBALL (AGPCNP)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752844658
Phone: (254) 724-8800
Type: Mailing
7700, Fish Pond Road, Waco, McLennan County, Texas, 76710, United States
WACO, TX 767101031
Phone: (254) 761-4444
Type: Location
2207 CLEAR CREEK RD STE 101
KILLEEN, TX 765494344
Phone: (254) 200-3250
Fax: (254) 200-3251
Type: Location
1605 S 31ST ST
TEMPLE, TX 765080001
Phone: (254) 215-0100
Type: Mailing
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 $84.
Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.
Last reported payment date: 2023-07-13 • Largest payer in this snapshot: Dexcom, Inc. ($84).
Total Amount
$84
General + Research + Ownership
Payments
1
Total payment records
General Amount
$84
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $84 |
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: 2017-05-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170509000743 | I | Certified Clinical Nurse Specialist (Cns) | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 14 | 14 | $0 |
Insurance plans in this area (ZIP 75284)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | AZ | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | PA |
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