Individual provider Active NPI

Kimberly Ann Bynum, FNP-C

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1114331626
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125758 Issued in TX
Practice address
4150 N Collins St
Arlington, TX 76005-4547
Phone
(817) 765-9175
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125758 TX Primary

Addresses

Primary practice location

4150 N Collins St
Arlington, TX 76005-4547

Mailing address

4101 Indian School Rd NE Suite 110
Albuquerque, NM 87110-3991

Other names 1

  • Ms. Kimberly Ann Force Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151002000413 TX Practitioner - Nurse Practitioner 0446568927 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RRR Hyperbarics 5 LLCGroup PAC ID 5496018848, 6 clinicians

Practice addresses (Care Compare)

4150 N Collins St
Arlington, TX 76005-4547
Phone (817) 765-9175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125758TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jun 1, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince Jun 1, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Jan 6, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jan 6, 2023 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Jan 7, 2024 Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1114331626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 INDIAN SCHOOL RD NE SUITE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 N COLLINS ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054547",
            "telephone_number": "817-765-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FORCE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.