Individual provider Active NPI

Kimberly Scarber

  • Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1770150153
Registry record updated Sep 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP139498 Issued in TX
Practice address
525 N Brentwood
Lufkin, TX 75904-7124
Phone
(936) 634-3627
NPI assigned
Jun 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2022

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 AP139498 TX Primary

Addresses

Primary practice location

525 N Brentwood
Lufkin, TX 75904-7124

Mailing address

1930 US Highway 190 W
Livingston, TX 77351-9600
Phone (936) 327-9944

Other practice location 1

1930 US Highway 190 W
Livingston, TX 77351-9600
Phone (409) 331-1000

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
I20220815002439 TX Practitioner - Nurse Practitioner 8527441138 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelina Emergency Medicine Associates PAGroup PAC ID 5395973564, 18 clinicians

Practice addresses (Care Compare)

1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (936) 634-8111

505 S John Redditt Dr
Lufkin, TX 75904-3120
Phone (936) 637-8567

Merit-based Incentive Payment System (MIPS)

Final score
87.57 of 100Reported as group
Quality
82.69
Improvement activities
40
Cost
81.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139498TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodrome Medical PA CurrentSince Aug 1, 2022 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Apr 1, 2026 Accepting new patients
Angelina Emergency Medicine Associates PA Nurse Practitioner CurrentSince Nov 26, 2024 Accepting new patients
Total Point - Desoto LLC CurrentSince Dec 28, 2022 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Aug 4, 2024 Accepting new patients

Locations

2312 W 7th Ave
Corsicana, TX 75110
Phone (903) 448-7611

1601 Elm St
Ste 4210
Dallas, TX 75201

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

2826 S Henderson Blvd
Kilgore, TX 75662
Phone 4693417800 ext. 211

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHCBCA

Organizations & group practices 5

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": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1770150153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 US HIGHWAY 190 W",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773519600",
            "telephone_number": "936-327-9944",
            "fax_number": "936-327-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N BRENTWOOD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047124",
            "telephone_number": "936-634-3627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 US Highway 190 W",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "TX",
            "postal_code": "773519600",
            "country_code": "US",
            "telephone_number": "409-331-1000",
            "fax_number": "936-327-9945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARBER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP139498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.