Individual provider Active NPI

Kimberly Willhoite

  • Family Nurse Practitioner
  • Georgetown, TX
National Provider Identifier
1215366562
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130266 Issued in TX
Practice address
1001 E University Ave
Georgetown, TX 78626-6100
Phone
(512) 863-1252
Fax
(512) 863-1310
NPI assigned
Nov 7, 2013
Last updated
Jan 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130266 TX Primary
College Health Registered Nurse 163WC1400X 772774 TX

Addresses

Primary practice location

1001 E University Ave
Georgetown, TX 78626-6100

Mailing address

2345 Chimney Rock Rd
Leander, TX 78641-2616
Phone (512) 552-1879

Other names 1

  • Kimberly McManus 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
I20160316000430 TX Practitioner - Nurse Practitioner 4284930355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians UnityGroup PAC ID 6406014919, 61 clinicians

Practice addresses (Care Compare)

4207 Burnet Rd
Austin, TX 78756-3316
Phone (512) 706-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
772774TXMDCollege Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity Family CurrentSince Nov 19, 2020 Accepting new patients

Locations

4207 Burnet Rd
Austin, TX 78756
Phone (512) 533-2455

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

351 Seton Pkwy
Round Rock, TX 78665
Phone (737) 708-9800

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1215366562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 CHIMNEY ROCK RD",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412616",
            "telephone_number": "512-552-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266100",
            "telephone_number": "512-863-1252",
            "fax_number": "512-863-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLHOITE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130266",
            "primary": true
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "TX",
            "license": "772774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCMANUS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.