Kimberly Anne Hansen, RN, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

570268 Issued in TX

Practice address

501 Midwestern Pkwy E
Wichita Falls, TX 76302-2302

Phone

(940) 763-7835

Fax

(940) 766-8711

NPI assigned

Jul 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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 and National Provider Directory roles.

• Little Black Bag House Calls LLC

  • General Practice Physician
  • Wichita Falls, TX
  • NPI 1376078881
  Medicare reassignment NPD
• Christian Family House Calls, LLC

  • Family Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1942332598
  NPD (past) Authorized official

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699774422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-763-7835",
            "fax_number": "940-766-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MIDWESTERN PKWY E",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022302",
            "telephone_number": "940-763-7835",
            "fax_number": "940-766-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 9th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014304",
            "country_code": "US",
            "telephone_number": "940-723-8151 x140",
            "fax_number": "940-723-8815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 9th St",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763014304",
            "country_code": "US",
            "telephone_number": "940-723-8151 x140",
            "fax_number": "940-723-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN, CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "570268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530834-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "S0133086",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea J Hand, BCBA, LBA
• Handar Inc. Dba Scott Medical Supply
• Lori Lee Hanes, MD
• Hanger Prosthetics & Orthotics Inc
• Christy Hankins, EIS
• David Hardman, LCDC
• Lauren Seigler Hargrove, LPC
• John Bradley Harmon, D.D.S.
• Harmony Integrative Medicine Clinics, PLLC
• Bradley Tyrel Harrelson, PHARM.D.

• Family Nurse Practitioner in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.