KIMBERLY RENE VITALE – Adult Health Nurse Practitioner, NPI 1831694090
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,209 NURSE PRACTITIONER in TX
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Provider Addresses for KIMBERLY RENE VITALE
Southwest Freeway, Houston, Harris County, Texas, 77010, United States
HOUSTON, TX 77074
Phone: (713) 486-8080
Fax: (713) 486-8090
Type: Location
16605 SOUTHWEST FWY
SUGAR LAND, TX 774793501
Phone: (281) 274-7000
Type: Location
6411 Fannin St
Houston, TX 770301501
Phone: (713) 704-8740
Type: Location
7777 Southwest Freeway, Ste 840
Houston, TX 77074
Phone: (713) 486-8080
Fax: (713) 486-8090
Type: Location
4019 PASEO ROYALE BLVD
RICHMOND, TX 774068256
Phone: (850) 221-7217
Type: Mailing
Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770301541
Phone: (713) 486-8000
Fax: (713) 486-8088
Type: Mailing
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: 2018-04-25
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 |
|---|---|---|---|---|
| I20180425001076 | 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 77074)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | IL | |
| General Surgery | NJ | |
| E N D O C R I N O L O G Y | TX | |
| Family Practice | TX | |
| Cardiovascular Disease (Cardiology) | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | FL |
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