Individual provider Active NPI

Kimberly Marie Patton, N.P.

  • Nurse Practitioner
  • College Station, TX
National Provider Identifier
1679906218
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
785291 Issued in TX
Practice address
311 Houston St
College Station, TX 77843-1236
Phone
(979) 458-9310
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 785291 TX Primary

Addresses

Primary practice location

311 Houston St
College Station, TX 77843-1236

Mailing address

1264 Tamu
College Station, TX 77843-0001
Phone (979) 458-8310

Other names 1

  • Kimberly Marie Cagle 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
I20140116000339 TX Practitioner - Nurse Practitioner 9234367467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healogics Specialty Physicians of Texas PLLCGroup PAC ID 6709002777, 33 clinicians
Texas Aandm University System Health Science CenterGroup PAC ID 6709241300, 4 clinicians

Practice addresses (Care Compare)

1605 Rock Prairie Rd
Suite 102
College Station, TX 77845-8358
Phone (979) 765-4325

8447 John Sharp Pkwy
Bryan, TX 77807-1552
Phone (979) 436-0584

Hospital & facility affiliations

  • CHI St Joseph Health Regional Hospital Hospital, Bryan, TX, CCN 450011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
785291TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Current Accepting new patients
Texas a&M University System Health Science Center CurrentSince May 4, 2025 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Jan 12, 2025 Accepting new patients

Locations

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

8447 John Sharp Pkwy
Bryan, TX 77807
Phone (979) 436-0200

Interoperability endpoints

  • Direct secure messaging: kimberlypatton@hmc.allscriptsdirect.net
  • Direct secure messaging: kpatton32314@texasamuniversity.gardenplot.direct-ci.com

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.

Hospital & facility affiliations 2

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1679906218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1264 TAMU",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778430001",
            "telephone_number": "979-458-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 HOUSTON ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778431236",
            "telephone_number": "979-458-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "785291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CAGLE",
            "middle_name": "MARIE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.