MISS KELLY JEAN KALDENBACH (PA-C) – Physician Assistant, NPI 1679687206
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MISS KELLY JEAN KALDENBACH (PA-C)
Timberland Medical Group Weatherford, 891, Eureka Street, Weatherford, Parker County, Texas, 76086, United States
WEATHERFORD, TX 760865807
Phone: (817) 341-7600
Fax: (817) 341-7351
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 404 Open Payments records for all available years, with a total value of $7,630.
Total Amount is formed as General ($7,630) + Research ($0) + Ownership ($0) = $7,630.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($844).
Total Amount
$7,630
General + Research + Ownership
Payments
404
Total payment records
General Amount
$7,630
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $844 |
| Teva Pharmaceuticals USA, Inc. | $800 |
| AstraZeneca Pharmaceuticals LP | $502 |
| Novo Nordisk Inc | $390 |
| Lilly USA, LLC | $294 |
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: 2007-01-30
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 |
|---|---|---|---|---|
| I20070130000161 | I | Physician Assistant | 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 76086)
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