KIMBERLY RAGLAND (CRNP) – Nurse Practitioner, NPI 1073350955

KIMBERLY RAGLAND (CRNP) is a healthcare provider. based in Fairhope, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-181887 (AL). The NPI Number for KIMBERLY RAGLAND (CRNP) is 1073350955

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY RAGLAND (CRNP)
NPI
1073350955
Phone
(334) 590-0669
Address
19901 BUNKER LOOP
Enumeration Date
9 July 2024
Last Update Date
9 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2515152273
Graduation Year
2023 (3 years ago)
PAC ID
9739608936
Group Practice PAC ID
9537565833
Professional Enrollment ID
I20250521001103
Address ID
AL365074824BA18XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KIMBERLY RAGLAND (CRNP)

  • 19901 BUNKER LOOP

    FAIRHOPE, AL 365327330

    Phone: (334) 590-0669

    Type: Mailing

  • 5 MOBILE INFIRMARY CIR

    MOBILE, AL 366073513

    Phone: (251) 435-2400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-21

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
I20250521001103INurse 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 36532)

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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: 9537565833View full group profile
NameSpecialtyState
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I verify KIMBERLY RAGLAND (CRNP) with an NPI only?
You can start verification with NPI 1073350955 for KIMBERLY RAGLAND (CRNP), then check state licensing separately.
Is KIMBERLY RAGLAND (CRNP) listed as active for patients and plans?
The listing shows KIMBERLY RAGLAND (CRNP) as active in the NPI system.
What is KIMBERLY RAGLAND (CRNP)'s specialty?
The listing groups KIMBERLY RAGLAND (CRNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY RAGLAND (CRNP) serve?
KIMBERLY RAGLAND (CRNP)'s listing highlights Fairhope, Alabama; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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