Individual provider Active NPI

Kimberly Novicke

  • Family Nurse Practitioner
  • Chappell Hill, TX
National Provider Identifier
1578296547
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1227898 Issued in TX
Practice address
763 Phillipsburg Church Rd
Chappell Hill, TX 77426-3829
Phone
(281) 451-3855
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 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 1227898 TX Primary

Addresses

Primary practice location

763 Phillipsburg Church Rd
Chappell Hill, TX 77426-3829

Mailing address

763 Phillipsburg Church Rd
Chappell Hill, TX 77426-3829
Phone (281) 451-3855

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
I20260611004345 TX Practitioner - Nurse Practitioner 6406328376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at Houston, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Integrated Partners, IncGroup PAC ID 6406151703, 330 clinicians

Practice addresses (Care Compare)

700 Medical Pkwy
Brenham, TX 77833-5413
Phone (979) 337-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
799779TXMDEmergency Registered Nurse

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.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1578296547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 PHILLIPSBURG CHURCH RD",
            "city": "CHAPPELL HILL",
            "state": "TX",
            "postal_code": "774263829",
            "telephone_number": "281-451-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 PHILLIPSBURG CHURCH RD",
            "city": "CHAPPELL HILL",
            "state": "TX",
            "postal_code": "774263829",
            "telephone_number": "281-451-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVICKE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1227898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappell Hill, TX

Sources for this page

Verify at the official NPI Registry.