KIMBERLEY BROOKE TANNER (FNP-C) – Family Nurse Practitioner, NPI 1023537073

KIMBERLEY BROOKE TANNER (FNP-C) is a healthcare provider. based in Falkville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1-135469 (AL). The NPI Number for KIMBERLEY BROOKE TANNER (FNP-C) is 1023537073

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY BROOKE TANNER (FNP-C)
NPI
1023537073
Phone
(256) 784-2200
Address
434 E PIKE RD
Enumeration Date
11 September 2017
Last Update Date
28 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567842200
Graduation Year
2015 (11 years ago)
PAC ID
1658612049
Group Practice PAC ID
4082855432
Professional Enrollment ID
I20190412000024
Address ID
AL356225109FA434XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KIMBERLEY BROOKE TANNER (FNP-C)

  • 434 E PIKE RD

    FALKVILLE, AL 356225109

    Phone: (256) 784-2200

    Fax: (256) 784-2203

    Type: Location

  • 20104 Swanner Blvd

    Tanner, AL 356713651

    Phone: (256) 686-3334

    Fax: (256) 686-3339

    Type: Location

  • 2941 Point Mallard Pkwy SE Ste N

    Decatur, AL 356035760

    Phone: (256) 432-2822

    Fax: (256) 432-2825

    Type: Location

  • 1650, Slaughter Road, Huntsville, Madison County, Alabama, 35758, United States

    MADISON, AL 357588610

    Phone: (256) 325-3646

    Type: Mailing

  • Danville Road Southwest, Austinville, Decatur, Morgan County, Alabama, 35603, United States

    DECATUR, AL 356034234

    Phone: (256) 686-4044

    Type: Location

  • 2941 POINT MALLARD PKWY SE STE N

    DECATUR, AL 356035760

    Phone: (256) 432-2822

    Fax: (256) 432-2825

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($191).

Total Amount

$200

General + Research + Ownership

Payments

14

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$191
Corium, LLC$9
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190412000024INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35622)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082855432View full group profile

Reviews

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Frequently asked questions

What identifier follows KIMBERLEY BROOKE TANNER (FNP-C) across health systems?
The NPI 1023537073 uniquely identifies KIMBERLEY BROOKE TANNER (FNP-C) in U.S. healthcare data.
Is KIMBERLEY BROOKE TANNER (FNP-C)'s NPI status active today?
Active status means KIMBERLEY BROOKE TANNER (FNP-C)'s NPI record is not deactivated in the public file.
What does the directory say KIMBERLEY BROOKE TANNER (FNP-C) does?
Insurance directories may phrase it differently, but here KIMBERLEY BROOKE TANNER (FNP-C) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KIMBERLEY BROOKE TANNER (FNP-C) tied to Falkville, Alabama?
If you are local to Falkville, Alabama, KIMBERLEY BROOKE TANNER (FNP-C) may be relevant to your search.
Can I export KIMBERLEY BROOKE TANNER (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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