Kimberly Shadelle Hardy-sampson, FNP - Medicare Nurse Practitioner in Houston, TX

Kimberly Shadelle Hardy-sampson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Houston, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hermann Medical Group and her current practice location is 4330 Bellfort St, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 732-3532.

Kimberly Shadelle Hardy-sampson is licensed to practice in Texas (license number 747140) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164777553.

Contact Information

Kimberly Shadelle Hardy-sampson, FNP
4330 Bellfort St,
Houston, TX 77051-1802
(713) 732-3532
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Shadelle Hardy-sampson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location4330 Bellfort St, Houston, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Shadelle Hardy-sampson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1164777553
  • Provider Enumeration Date: 07/21/2012
  • Last Update Date: 09/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3971751397
  • Enrollment ID: I20120910000559

Medical Identifiers

Medical identifiers for Kimberly Shadelle Hardy-sampson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164777553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 747140 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hermann Hospital SystemHouston, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hermann Medical Group7012008360601

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Shadelle Hardy-sampson allows following entities to bill medicare on her behalf.
Entity NameMemorial Hermann Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003985102
PECOS PAC ID: 7012008360
Enrollment ID: O20070801000368

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Shadelle Hardy-sampson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Shadelle Hardy-sampson, FNP
909 Frostwood Dr Ste 1.100,
Houston, TX 77024-2301

Ph: (713) 338-5519
Kimberly Shadelle Hardy-sampson, FNP
4330 Bellfort St,
Houston, TX 77051-1802

Ph: (713) 732-3532

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.