MARY C KIMBRELL (CRNP) – Family Nurse Practitioner, NPI 1245511138

MARY C KIMBRELL (CRNP) is a healthcare provider. based in Hazel green, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-114767 (AL). The NPI Number for MARY C KIMBRELL (CRNP) is 1245511138

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARY C KIMBRELL (CRNP)
NPI
1245511138
Phone
(256) 828-9440
Address
12935 HIGHWAY 231 431 N
Enumeration Date
6 September 2011
Last Update Date
6 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562898470
Graduation Year
2010 (16 years ago)
PAC ID
2668638925
Group Practice PAC ID
8729402037
Professional Enrollment ID
I20120801000046
Address ID
AL357586702MA5510XNWXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MARY C KIMBRELL (CRNP)

  • 12935 HIGHWAY 231 431 N

    HAZEL GREEN, AL 357508631

    Phone: (256) 828-9440

    Mailing address matches the actual address.

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: 2012-08-01

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
I20120801000046INurse 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 35750)

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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: 8729402037View full group profile
NameSpecialtyState
Sports MedicineGA
Nurse PractitionerAL
Physician AssistantAL
Physician AssistantAL
Physician AssistantAL
Physician AssistantAL
Internal Medicine, Sports MedicineAL
Physician AssistantAL
Nurse PractitionerAL
Sports Medicine, Family PracticeSC

Reviews

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Frequently asked questions

What NPI should I save for MARY C KIMBRELL (CRNP)?
Save NPI 1245511138 if you need a stable reference for MARY C KIMBRELL (CRNP).
Is MARY C KIMBRELL (CRNP) active in the national directory?
MARY C KIMBRELL (CRNP)'s public NPI profile is in an active state.
What does MARY C KIMBRELL (CRNP) treat or focus on?
Patients typically see MARY C KIMBRELL (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY C KIMBRELL (CRNP)?
The page summarizes Hazel Green, Alabama for MARY C KIMBRELL (CRNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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