Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396284592 Individual Practitioner Female Practitioner

Kimberlee Mack , PA-C

Physician Assistant • Fort Cavazos, TX

Professional Overview & Biography Verified Profile Summary

Kimberlee Mack, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Cavazos, TX. Practice services are available at 590 MEDICAL CENTER ROAD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

590 Medical Center Road

Fort Cavazos, TX 76544

Telephone 9155912704
Fax 9152250413
Associated Practice Facility / Clinic
🏢 Salud Y Vida, P.a. Facility NPI 1043287287

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Cavazos, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.8 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
38 Specialists

Practicing in Fort Cavazos, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
24 18 $190.00 $88.36

Medical Specialties & State Licenses

CMS Verified: 2026-07-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA11188

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
James Rodriguez Vargas , PA

Physician Assistant

NPI 1003819855

Physician Assistant

NPI 1023403078

Doctor of Podiatric Medicine

Dr. Humberto Saenz Chavez , MD

Family Medicine - Geriatric Medicine

NPI 1164873188

Doctor of Medicine (M.D.)

Lashanda Beamon

Nurse Practitioner - Family

NPI 1245692318
Anu George , PA-C

Physician Assistant

NPI 1306251780

Physician Assistant (Certified)

Cresilda Yuson , NP

Nurse Practitioner - Family

NPI 1447773338

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 24, 2026

Registered at 590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544 (Tel: 9155912704)

📍
Updated Business Mailing Address July 24, 2026

Registered at 36000 DARNALL LOOP, FORT HOOD, TX 765445095

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 400 SHADOW MOUNTAIN DR, EL PASO, TX 799124030 (Tel: 9155912704)

📍
Updated Business Mailing Address October 17, 2017

Registered at 1335 GERONIMO DR, EL PASO, TX 799251836 (Tel: 9155912704)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as KIMBERLEE MACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Physician Assistant (License #PA11188 in TX)

NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2017

Registered at 202 W MARY JANE DR, APT B, KILLEEN, TX 765417975 (Tel: 2543387558)

📍
Updated Business Mailing Address February 21, 2017

Registered at 202 W MARY JANE DR, APT B, KILLEEN, TX 765417975 (Tel: 2543387558)

👤
Provider Name / Credentials Updated February 21, 2017

Recorded as KIMBERLEE MACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396284592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2017
Last Update: July 24, 2026
Sole Proprietor: Yes

Mailing Address

36000 Darnall Loop

Fort Hood, TX 765445095

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.