KIMBERLY RENE VITALE – Adult Health Nurse Practitioner, NPI 1831694090

KIMBERLY RENE VITALE is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 798641 (TX). The NPI Number for KIMBERLY RENE VITALE is 1831694090

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RENE VITALE
NPI
1831694090
Phone
(713) 486-8080
Address
7777 SOUTHWEST FREEWAY, STE 840
Enumeration Date
28 March 2018
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2816904678
Graduation Year
2017 (9 years ago)
PAC ID
3779847868
Group Practice PAC ID
5193239796
Professional Enrollment ID
I20180425001076
Address ID
TX774794728SU16811FWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180425001076INurse 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 77074)

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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: 5193239796View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YTX
Internal MedicineIL
General SurgeryNJ
E N D O C R I N O L O G YTX
Family PracticeTX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What is the registry number for KIMBERLY RENE VITALE?
The registry entry for KIMBERLY RENE VITALE shows NPI 1831694090.
Quick check: is KIMBERLY RENE VITALE active?
Public NPPES data shows KIMBERLY RENE VITALE with an active NPI status right now.
How should patients interpret KIMBERLY RENE VITALE's specialty?
The extract shows Adult Health Nurse Practitioner for KIMBERLY RENE VITALE. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMBERLY RENE VITALE?
KIMBERLY RENE VITALE is associated with Houston, Texas in the same public data insurers reference.
Why is information missing for KIMBERLY RENE VITALE?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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