Individual provider Active NPI

Kimberly A Hilmer, FNP

  • Family Nurse Practitioner
  • Aledo, TX
National Provider Identifier
1902021850
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
617313 Issued in TX
Practice address
5700 E I-20 Service Rd South
#100
Aledo, TX 76008-5115
Phone
(817) 489-7300
Fax
(817) 489-7302
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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 617313 TX Primary

Addresses

Primary practice location

5700 E I-20 Service Rd South
#100
Aledo, TX 76008-5115

Mailing address

PO Box 761
Aledo, TX 76008-0761
Phone (817) 372-9200

Other identifiers 1

IdentifierTypeStateIssuer
167844302MedicaidTX

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
I20040318001302 TX Practitioner - Nurse Practitioner 6002706322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christian Care House Calls LLCGroup PAC ID 0244540284, 5 clinicians

Practice addresses (Care Compare)

135 Treetop Dr
Fort Worth, TX 76126-5587
Phone 81737292001

Hospital & facility affiliations

  • Beyondfaith Homecare & Rehab of Ft Worth LLC Home health agency, Weatherford, TX, CCN 747521
  • Choice Homecare Home health agency, Grapevine, TX, CCN 747181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
617313TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Care House Calls LLC Family CurrentSince Jul 31, 2015 Accepting new patients
Timberland Medical Group Family CurrentSince Aug 4, 2010 Accepting new patients
Timberland Medical Group CurrentSince Aug 4, 2010 Accepting new patients
Digestive Health Associates of Texas, P.a. Past Accepting new patients

Locations

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

5700 E Interstate 20 Service Rd S
#100
Willow Park, TX 76008
Phone (817) 489-7300

Interoperability endpoints

  • Direct secure messaging: kimberlyhilmer@cchcl-tx.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1902021850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760080761",
            "telephone_number": "817-372-9200",
            "fax_number": "877-515-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E I-20 SERVICE RD SOUTH",
            "address_2": "#100",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760085115",
            "telephone_number": "817-489-7300",
            "fax_number": "817-489-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILMER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "617313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167844302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aledo, TX

Sources for this page

Verify at the official NPI Registry.