Kimberly Belgum, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Pharr, TX
NPI 1083258552 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1083258552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP143413 (TX)
- Practice address
- 1519 S Jackson Rd Ste 2
Pharr, TX 78577-6614 - Phone
- (956) 269-9764
- NPI assigned
- Oct 29, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1519 S Jackson Rd
Suite 2
Pharr, TX 78577-6596
Phone (956) 269-9764
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191206000744 | TX | Practitioner - Nurse Practitioner | 0749613610 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Family Practice LLC | Current |
Accepting new patients | |
| Moderncare Home & Family Medicine, PLLC | Family | Past |
Accepting new patients |
Locations
1519 S Jackson Rd
Ste 2
Pharr, TX 78577
Phone (956) 269-9764
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CACEDD/Endpoint/CACEDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP143413 | TX | Yes |
Addresses
Primary practice location
1519 S Jackson Rd Ste 2
Pharr, TX 78577-6614
Mailing address
1519 S Jackson Rd Ste 2
Pharr, TX 78577-6614
Phone (956) 269-9764
Other providers in Pharr, TX
- Julissa Barrios
- Jesus Barron
- Ariadne Bazaldua
- Bazan Therapy Solutions, LLC
- Behavioral Health Solutions of South Texas
- Bella Vista Eye Care, PLLC
- Rene Bello
- Norma Alicia Belsole
- Bendiciones Primary Home Care Inc.
- Rosa Linda Berlanga
All providers in Pharr, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.