MS. KIRSTIN DAWN PICKENS (PA) – Physician Assistant, NPI 1740265560

MS. KIRSTIN DAWN PICKENS (PA) is a healthcare provider. based in Bedford, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA04422 (TX). The NPI Number for MS. KIRSTIN DAWN PICKENS (PA) is 1740265560

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIRSTIN DAWN PICKENS (PA)
NPI
1740265560
Phone
(817) 540-4477
Address
2425 HWY 121
Enumeration Date
14 December 2005
Last Update Date
16 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8175404477
Graduation Year
2004 (22 years ago)
PAC ID
2466405550
Group Practice PAC ID
0941191126
Professional Enrollment ID
I20050301000652
Address ID
TX760215013BE2425X121X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MS. KIRSTIN DAWN PICKENS (PA)

  • 2425 HWY 121

    BEDFORD, TX 760215011

    Phone: (817) 540-4477

    Fax: (817) 510-0185

    Type: Mailing

  • 2425 HIGHWAY 121

    BEDFORD, TX 760215013

    Phone: (817) 540-4477

    Fax: (817) 540-5633

    Type: Mailing

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 $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Pylant Medical ($259).

Total Amount

$341

General + Research + Ownership

Payments

7

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2005-03-01

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
I20050301000652IPhysician 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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25641$0
73030X-ray of shoulder, minimum of 2 views154104$0
99213Established patient office or other outpatient visit, 20-29 minutes9981$0
99214Established patient office or other outpatient visit, 30-39 minutes7153$0
29826Shaving of part of shoulder bone and repair of ligament using an endoscope6362$0
View full utilization report →

Insurance plans in this area (ZIP 76021)

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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: 0941191126View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic Surgery, Hand SurgeryTX
Orthopedic SurgeryUT
Physician AssistantTX
Physician AssistantTX
Orthopedic Surgery, Sports MedicineTX
Orthopedic SurgeryTX
Physician AssistantPA
-TX
Physician AssistantTX

Reviews

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Frequently asked questions

What number should I use to identify MS. KIRSTIN DAWN PICKENS (PA) for billing?
Administrative and clinical systems typically use NPI 1740265560 for MS. KIRSTIN DAWN PICKENS (PA).
Is MS. KIRSTIN DAWN PICKENS (PA)'s NPI status active today?
Active status means MS. KIRSTIN DAWN PICKENS (PA)'s NPI record is not deactivated in the public file.
What services align with MS. KIRSTIN DAWN PICKENS (PA)'s listing?
MS. KIRSTIN DAWN PICKENS (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. KIRSTIN DAWN PICKENS (PA)?
MS. KIRSTIN DAWN PICKENS (PA) shows a connection to Bedford, Texas in registry-derived data.
Why is information missing for MS. KIRSTIN DAWN PICKENS (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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