KIMBERLY PINEDA APRN, CPNP-AC
NPI 1467188573
Nurse Practitioner - Acute Care in Prosper, TX
NPI Status: Active since July 29, 2022
Contact Information
4100 W UNIVERSITY DR
PROSPER, TX
ZIP 75078
Phone: (945) 204-4100
Fax: (682) 885-1903
- Individual
- Female
- Nurse Practitioner
- Acute Care
- PECOS Enrolled
About KIMBERLY PINEDA
This page provides the complete NPI Profile along with additional information for Kimberly Pineda, a provider established in Prosper, Texas with a medical specialization in Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1467188573 assigned on July 2022. The practitioner's primary taxonomy code is 363LA2100X with license number 1088620 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1467188573
- Provider Name
- KIMBERLY PINEDA APRN, CPNP-AC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4100 W UNIVERSITY DR PROSPER, TX 75078
- Location Phone
- (945) 204-4100
- Location Fax
- (682) 885-1903
- Mailing Address
- PO BOX 733784 DALLAS, TX 75373
- Mailing Phone
- (682) 885-6483
- Mailing Fax
- (682) 885-1903
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-29-2022
- Last Update Date
- 08-20-2024
- Code Navigator
A nurse practitioner (NP) like Kimberly Pineda is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Acute Care
- Taxonomy Code
- 363LA2100X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1088620
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 1088620 (TX) |
Medicare Participation & PECOS Enrollment Status
Kimberly Pineda is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 75078 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 1 | 8 | 8 | 5 | 7 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 2 | 8 | 16 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 2 + 8 + 1 + 6 + 5 + 1 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1467188573 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1467774943 | DR. KRISTY RUTHANN BYBEE DO Individual | Pediatrics (Pediatric Emergency Medicine) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1417989203 | JULIO CESAR CASTILLO MD Individual | Pediatrics | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1831852581 | MRS. KYLIE MICHELLE CLAY CPNP-AC Individual | Nurse Practitioner (Acute Care) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1205474582 | JILL YVONNE STEINBACH CPNP-AC Individual | Nurse Practitioner (Acute Care) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1215609896 | COOK CHILDRENS MEDICAL CENTER - PROSPER Organization | General Acute Care Hospital (Children) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1588085856 | BRITTANY SHORE CRNA Individual | Nurse Anesthetist, Certified Registered | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1982081196 | KRISTI K GOODSON MD Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1255103263 | NATHALIE ALEJANDRA REZA HARO CPNP-PC Individual | Nurse Practitioner (Primary Care) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1548780919 | DR. DUYGU DERYA UZUN MD Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1922770809 | CARLOS ENRIQUE ESPADA CPNP Individual | Nurse Practitioner (Acute Care) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1265896682 | MARK URBANSKI DO Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1033690334 | ALOCHANA RAGULA MD Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1821273327 | STACEY ANN SCOTT CPNP Individual | Nurse Practitioner (Acute Care) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1881221810 | NICOLE KRISTEN NIEMAN MD Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1407275274 | DR. WASIE JAWED IQBAL M.D. Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1790161156 | PRIYA JOSEPH MD Individual | Hospitalist | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1679921019 | DR. ERIC RYAN FRIEDRICH D.O. Individual | Pediatrics (Pediatric Emergency Medicine) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1851029169 | NATALIE DANIELLE DAVIS FNP Individual | Nurse Practitioner (Family) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1922419407 | DR. ANDREW KAMAL BOULOS M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
| 1023456431 | NATALIE NIMER SMITH M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 4100 W UNIVERSITY DR PROSPER, TX 75078 (945) 204-4100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467188573, enumerated in the NPI registry as an "individual" on July 29, 2022
The provider is located at 4100 W University Dr Prosper, Tx 75078 and the phone number is (945) 204-4100
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2100X with a focus in Acute Care
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.92 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.05 and an average copayment of 24.26. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 29, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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