Kaitlyn Shane Kimbrough, PA-C
Physician Assistant · Fort Worth, TX
Kaitlyn Shane Kimbrough, PA-C is a physician assistant with a practice address in Fort Worth, Texas, and NPI 1912601733, issued on Mar 27, 2023. Check the license (Texas PA16774, as entered in NPPES) with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kaitlyn Shane Kimbrough
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA16774 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1500 Cooper St, Fort Worth, TX 76104
- Phone
- (682) 885-2500
- Enumerated
- Mar 27, 2023
- Record last updated
- Feb 3, 2026
- Fax
- (682) 885-2510
- Medicare enrollment
- Enrolled (PECOS I20230611000230); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,999 in Texas → Look up another NPI →
Also registered at 1500 Cooper St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kaitlyn Shane Kimbrough in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license PA16774Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $377.54
5 payments; by number, the most common kind was food and beverage; the largest payer was Davol Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- MedhealthMansfield, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kaitlyn Shane Kimbrough among 10,999 physician assistant records in Texas
Kaitlyn Shane Kimbrough, PA-C is one of 10,999 physician assistant records with a practice address in Texas. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 82% of them.
- NPI issued2023 · 82% of these records are older, 12% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 55% of these records are
- Graduated2023 · median 2017 among the 6,096 with a school on file
- Record last updated2026 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
599 physician assistant records list a practice address in Fort Worth
They are 599 of the 15,511 NPPES records with a practice address in Fort Worth, and 10,999 physician assistant records in Texas.
All 10,999 in Texas → Every provider in Fort Worth → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Mark Arneson, PAFort Worth, TX 761041033145099
- Molly Boggs, PA-CFort Worth, TX 761041154369155
- Clyde Hartman, PAFort Worth, TX 761041154371771
- Ruth Kested, PAFort Worth, TX 761041407822570
- Karen Kindler, PA-CFort Worth, TX 761041326002205
- Stephanie Lawrence, PAFort Worth, TX 761041417974007
- Dan Person, PAFort Worth, TX 761041942234521
- Pamela Plake, P.A.-CFort Worth, TX 761041023018645
Common questions
What is Kaitlyn Shane Kimbrough, PA-C's NPI number?
Kaitlyn Shane Kimbrough, PA-C's National Provider Identifier (NPI) is 1912601733, issued on Mar 27, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Kaitlyn Shane Kimbrough, PA-C located?
The NPPES record lists a practice address at 1500 Cooper St, Fort Worth, TX, 76104. Phone: (682) 885-2500. Providers update this record themselves, so call before visiting.
How can I verify Kaitlyn Shane Kimbrough, PA-C's license?
NPPES lists Texas license number PA16774, as entered by the provider. Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.