Kimberly Ann Werner Billet, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

S0590 Issued in TX

Practice address

4645 Avon LN Ste 375
Frisco, TX 75033-1216

Phone

(469) 922-3376

Fax

(469) 922-3222

NPI assigned

Aug 9, 2010

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other names 1

• Kimberly Ann Werner Former name

Medicare fee-for-service enrollment

Enrolled in TX, NM2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Eastern Virginia Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bare Derm Group IncGroup PAC ID 3274903307, 16 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bare Derm Group Inc

  dba Bare Dermatology

  • Dermatology Physician
  • Dallas, TX
  • NPI 1053029348
  Medicare reassignment Care Compare group NPD
• Presbyterian Healthcare Services

  dba Presbyterian Medical Group

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1104802354
  Medicare reassignment NPD
• Dr Kim Dermatology PLLC

  • Dermatology Physician
  • Frisco, TX
  • NPI 1346828225
  Authorized official Same address or phone
• Presbyterian Healthcare Services

  dba Presbyterian Hospital

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1215913470
  NPD
• Derm Texas LLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1386215002
  NPD (past)
• Grace Elizabeth Brown, MD PA

  • Specialist
  • Flower Mound, TX
  • NPI 1922448489
  NPD (past)
• Pediatric Dermatology of No. TX

  dba Fred E Ghali, MD

  • Pediatric Dermatology Physician
  • Grapevine, TX
  • NPI 1487060679
  NPD (past)
• Wise Clinical Care Associates

  • Family Medicine Physician
  • Bridgeport, TX
  • NPI 1679719801
  NPD (past)

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1669787131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 375",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331216",
            "telephone_number": "469-922-3376",
            "fax_number": "469-922-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 AVON LN STE 375",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331216",
            "telephone_number": "469-922-3376",
            "fax_number": "469-922-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 Del Prado Blvd S",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "33904",
            "country_code": "US",
            "telephone_number": "239-561-3376",
            "fax_number": "239-561-3020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 W Spring Creek Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243617",
            "country_code": "US",
            "telephone_number": "972-316-4555",
            "fax_number": "214-285-0791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLET",
        "first_name": "KIMBERLY",
        "middle_name": "ANN WERNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101250207",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME135731",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101250207",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S0590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WERNER",
            "middle_name": "ANN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana Greenberg Biederman, O.D.
• Jordan Alan Bienek
• Matthew Biermacher, LPC
• Elizabeth Biermann
• Chanceline Bih
• Katherine Nicole Binfet, PT, DPT
• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Frisco)
• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care North Frisco Dialysis Clinic)
• Biofeedback & Behavioral Healthcare Solutions, P.a.
• Biofeedback & Behavioral Healthcare Solutions, P.a.

• Dermatology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.