KIMBERLY NICOLE BORDEN (FNP-C) – Nurse Practitioner, NPI 1225785058

KIMBERLY NICOLE BORDEN (FNP-C) is a healthcare provider. based in Canyon, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1072096 (TX). The NPI Number for KIMBERLY NICOLE BORDEN (FNP-C) is 1225785058

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY NICOLE BORDEN (FNP-C)
NPI
1225785058
Phone
(806) 557-4674
Address
1619 4TH AVE
Enumeration Date
2 March 2022
Last Update Date
23 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063223000
Graduation Year
2021 (5 years ago)
PAC ID
5890282180
Group Practice PAC ID
5890693402
Professional Enrollment ID
I20251011000014
Address ID
TX791241601AM6826XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KIMBERLY NICOLE BORDEN (FNP-C)

  • 1619 4TH AVE

    CANYON, TX 790153824

    Phone: (806) 557-4674

    Type: Mailing

  • PO BOX 610344

    DALLAS, TX 752610344

    Phone: (254) 245-9175

    Fax: (254) 213-7771

    Type: Mailing

  • 6826 PLUM CREEK DR

    AMARILLO, TX 791241601

    Phone: (254) 245-9175

    Fax: (254) 213-7771

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 96 Open Payments records for all available years, with a total value of $1,870.

Total Amount is formed as General ($1,870) + Research ($0) + Ownership ($0) = $1,870.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($353).

Total Amount

$1,870

General + Research + Ownership

Payments

96

Total payment records

General Amount

$1,870

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2025-10-11

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
I20251011000014INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79015)

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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: 5890693402View full group profile
NameSpecialtyState
Pain ManagementTX
-TX
Pain Management, AnesthesiologyTX
Nurse PractitionerTX
Nurse PractitionerTX
Interventional Pain Management, AnesthesiologyTX
Pain ManagementCA
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KIMBERLY NICOLE BORDEN (FNP-C)?
KIMBERLY NICOLE BORDEN (FNP-C) — NPI 1225785058 — is the standard way to identify this listing.
Can I rely on KIMBERLY NICOLE BORDEN (FNP-C) being an active provider?
As of the registry snapshot, KIMBERLY NICOLE BORDEN (FNP-C) is marked active.
What healthcare role does KIMBERLY NICOLE BORDEN (FNP-C) hold?
Scheduling teams often label KIMBERLY NICOLE BORDEN (FNP-C) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KIMBERLY NICOLE BORDEN (FNP-C) on a map?
Expect Canyon, Texas as a primary anchor for KIMBERLY NICOLE BORDEN (FNP-C) unless the record lists multiple sites.
Is the information about KIMBERLY NICOLE BORDEN (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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