KIMBERLY CALDERON (FNP) – Nurse Practitioner, NPI 1538681754
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KIMBERLY CALDERON (FNP)
3535 N Fourth St Ste 400
Longview, TX 756050038
Phone: (903) 757-3881
Fax: (903) 757-5948
Type: Location
Wallis Dermatology Associates, 6, Doctor Circle, Longview, Gregg County, Texas, 75605, United States
LONGVIEW, TX 756055050
Phone: (903) 757-3881
Type: Mailing
3535 N FOURTH ST STE 400
LONGVIEW, TX 756050038
Phone: (903) 757-3881
Fax: (903) 757-5948
Type: Mailing
South Washington Avenue, Marshall, Harrison County, Texas, 75670, United States
MARSHALL, TX 756706845
Phone: (903) 503-7330
Fax: (903) 503-7336
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 158 Open Payments records for all available years, with a total value of $2,605.
Total Amount is formed as General ($2,605) + Research ($0) + Ownership ($0) = $2,605.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Biotech, Inc. ($548).
Total Amount
$2,605
General + Research + Ownership
Payments
158
Total payment records
General Amount
$2,605
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $548 |
| GENZYME CORPORATION | $417 |
| ABBVIE INC. | $301 |
| Regeneron Healthcare Solutions, Inc. | $282 |
| Lilly USA, LLC | $262 |
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: 2017-11-04
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 |
|---|---|---|---|---|
| I20171104000100 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,403 | 308 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,025 | 701 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 615 | 445 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 217 | 186 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 210 | 210 | $0 |
Insurance plans in this area (ZIP 75605)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| D E R M A T O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.