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Kimberly Anise Powers

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY POWERS.

Based on the most recent information from CMS, provider Kimberly Anise Powers is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1417949041
Provider Type
Individual
Full Name
Powers, Kimberly Anise
Credential
RN, MSN, FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/19/2005
Last Updated
6/12/2023

Contact Information

Practice Location

1201 W 38th St, Austin, TX 78705-1006

(512) 681-0500

Unlisted Fax

Mailing Location

1707 Coral Dr, Cedar Park, TX 78613-3542

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 278405 Massachusetts
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP111182 Texas

Kimberly Anise Powers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Lenhard, Leslie

Thomas, Rita Sara

Atkins, Laura Leigh

Crilly, Chelsea

Sarro, Jill Diane

Berry, Mary Jane

Burgett, Erica

Bode, Sara

Cox, Rebecca

Pokala, Lauren Victoria