KIMBERLY LA'TETTE CAMPBELL (NP) – Family Nurse Practitioner, NPI 1770221640
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for KIMBERLY LA'TETTE CAMPBELL (NP)
545 Gulfgate Center Mall
Houston, TX 770873023
Phone: (281) 846-7209
Type: Location
7525 Tidewater Dr Ste 19
Norfolk, VA 235053700
Phone: (757) 330-0150
Type: Location
405 W Adams St
Kosciusko, MS 390903617
Phone: (662) 289-2880
Type: Location
405 W ADAMS ST
KOSCIUSKO, MS 390903617
Phone: (662) 289-2880
Type: Mailing
6101 Blue Lagoon Dr Ste 200
Miami, FL 331263168
Phone: (305) 500-2000
Fax: (786) 522-9018
Type: Location
304 CADE ST
WINONA, MS 389672404
Phone: (662) 582-2660
Type: Mailing
2650 BEACH BLVD STE 40
BILOXI, MS 395314517
Phone: (305) 500-2000
Fax: (786) 522-9018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230228000515 | I | Nurse Practitioner | MS | TBD |
| I20250321000383 | I | Nurse Practitioner | VA | TBD |
| I20260202000726 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77087)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Family Practice | NC | |
| Physician Assistant | VA | |
| Nurse Practitioner | GA |
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