KIMBERLY ANGLIN (FNP) – Pediatric Nurse Practitioner, NPI 1104844950

KIMBERLY ANGLIN (FNP) is a healthcare provider. based in Amarillo, Texas. specializing in Pediatric Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 619677 (TX). The NPI Number for KIMBERLY ANGLIN (FNP) is 1104844950

Main info

Female
Name
KIMBERLY ANGLIN (FNP)
NPI
1104844950
Phone
(806) 354-0404
Address
1500 S COULTER ST
Enumeration Date
18 July 2006
Last Update Date
2 April 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KIMBERLY ANGLIN (FNP)

  • 1500, Coulter Street, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 791061791

    Phone: (806) 354-0404

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $665.

Total Amount is formed as General ($665) + Research ($0) + Ownership ($0) = $665.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Corium, LLC ($229).

Total Amount

$665

General + Research + Ownership

Payments

37

Total payment records

General Amount

$665

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2008-05-27

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
I20080527000528INurse 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 79106)

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Reviews

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Frequently asked questions

How do I look up KIMBERLY ANGLIN (FNP) by NPI?
Use NPI 1104844950 when you need to reference KIMBERLY ANGLIN (FNP) in forms, claims, or directories.
Does this profile mean KIMBERLY ANGLIN (FNP) is currently active?
Yes — KIMBERLY ANGLIN (FNP) appears active in the national provider directory.
Does KIMBERLY ANGLIN (FNP) list a primary specialty?
If you are matching referrals, note Pediatric Nurse Practitioner for KIMBERLY ANGLIN (FNP). Clinical services aligned with this taxonomy classification.
What location metadata exists for KIMBERLY ANGLIN (FNP)?
The page summarizes Amarillo, Texas for KIMBERLY ANGLIN (FNP); expand the address list for detail.
How can I contact KIMBERLY ANGLIN (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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