Individual provider Active NPI

Kimberly Barone Rogers

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1295346070
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1007979 Issued in TX
Practice address
8728 Lariat Cir
Fort Worth, TX 76244-7996
Phone
(601) 519-9653
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 1007979 TX Primary

Addresses

Primary practice location

8728 Lariat Cir
Fort Worth, TX 76244-7996

Mailing address

655 Promenade Apt 4012
Irving, TX 75039-1213
Phone (601) 519-9653

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
I20201113000157 TX Practitioner - Nurse Practitioner 8022428440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

779 Grapevine Hwy
Hurst, TX 76054-2805
Phone (817) 428-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1007979TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Med Argyle PA CurrentSince May 1, 2024 Accepting new patients
Primary Health Physicians, PLLC CurrentSince Nov 17, 2024 Accepting new patients
North Texas Emergency Physicians, PA CurrentSince May 1, 2024 Accepting new patients
Macarthur Medical Center, PLLC PastSince Oct 20, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

391 Highway 377 S
Argyle, TX 76226
Phone (940) 784-7301

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

779 Grapevine Hwy
Hurst, TX 76054
Phone (817) 428-7300

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

8501 Justin Rd
Lewisville, TX 75077
Phone (940) 784-7045

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 4

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1295346070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 PROMENADE APT 4012",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750391213",
            "telephone_number": "601-519-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8728 LARIAT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762447996",
            "telephone_number": "601-519-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KIMBERLY",
        "middle_name": "BARONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.