Katie Ann Kimpel, NP
Individual provider Active NPI General Practice Registered Nurse · Boyce, LA
NPI 1245543768 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1245543768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- RN113323-APO6187 (LA)
- Practice address
- 415 Saint Clair Rd Ste B
Boyce, LA 71409 - Phone
- (318) 528-3223
- Fax
- (318) 528-3224
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
2812 Hwy 28 E
Pineville, LA 71360-5715
Phone (318) 528-3355
Hospital & facility affiliations
- Christus St Frances Cabrini Hospital
- Rapides Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20110504000701 | LA | Practitioner - Nurse Practitioner | 4082899125 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN113323-APO6187 | LA | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C H Wilkinson Physician Network | Current |
Accepting new patients | |
| C H Wilkinson Physician Network | Nurse Practitioner | Current |
Accepting new patients |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Rapides Regional Physician Group Primary Care, LLC | Past | Accepting new patients | |
| Rapides Regional Physician Group Specialty Care, LLC | Past |
Accepting new patients |
Locations
2812 Highway 28 E
Pineville, LA 71360
Phone (318) 528-3355
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
Interoperability endpoints
- kkimpel242855@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN113323-APO6187 | LA | Yes |
Addresses
Primary practice location
415 Saint Clair Rd Ste B
Boyce, LA 71409
Mailing address
11750 W 2ND PL
Suite 365
Lakewood, CO 80228-1575
Phone (720) 321-8280
Other practice location 1
11750 W 2nd Pl
Suite 365
Lakewood, CO 80228-1575
Phone (720) 321-8280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145878 | Medicaid | LA |
Other providers in Boyce, LA
- Kellie'S Sitting Services, Inc.
- Kellies Sitting Services, Inc.
- Kellies Sitting Services, Inc.
- Kellies Sitting Srvices, Inc.
- Telisha Lyntrelle Kennedy
- KSS Enterprises Inc
- KSS Enterprises Inc
- Julia Lahey
- Lil Boos Corner Store LLC
- Ramona Lonsberry
All providers in Boyce, LA · General Practice Registered Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. 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.