Kimberly Ann Shafer, R.N., F.N.P.-B.C.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

578393 Issued in TX

Practice address

2601 Wasson Rd
Big Spring, TX 79720-6416

Phone

(432) 714-4284

Fax

(432) 714-4286

NPI assigned

Aug 9, 2005

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DCS Medical PA

  dba Integrity Urgent Care

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768
  Medicare reassignment Care Compare group NPD
• Kimberly a Shafer, P.C.

  • Family Nurse Practitioner
  • Big Spring, TX
  • NPI 1316154693
  NPD Authorized official
• C,L and W PLLC

  dba Affordacare

  • Urgent Care Clinic/Center
  • Abilene, TX
  • NPI 1619235629
  Medicare reassignment
• DCS Medical PA

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1063413557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WASSON RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206416",
            "telephone_number": "432-714-4284",
            "fax_number": "432-714-4286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WASSON RD",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797206416",
            "telephone_number": "432-714-4284",
            "fax_number": "432-714-4286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "R.N., F.N.P.-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "578393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Annette Schultz
• Candace Blair Searcy, PHARM.D.
• Nina Marie Serra
• Ted Mack Seymore, O.D.
• Mark Seymour
• Shannon Clinic
• Shannon Medical Center (Shannon Medical Center Big Spring)
• Shared Smiles PLLC (Big Spring Dental)
• Jan Renet Shaw, M.ED., LPC-A
• Shroff Cardiology & Internal Medicine Clinic PA

• Family Nurse Practitioner in Big Spring, TX
• Providers in Big Spring, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.