KIMBERLY SPROUSE (FNP-C) – Family Nurse Practitioner, NPI 1922549773

KIMBERLY SPROUSE (FNP-C) is a healthcare provider. based in Vernon, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 901790 (MS). The NPI Number for KIMBERLY SPROUSE (FNP-C) is 1922549773

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY SPROUSE (FNP-C)
NPI
1922549773
Phone
(662) 574-1099
Address
344 TOWN BRANCH RD
Enumeration Date
13 March 2017
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054874535
Graduation Year
2016 (10 years ago)
PAC ID
1850649435
Group Practice PAC ID
5193180297
Professional Enrollment ID
I20180731000441
Address ID
AL354763135NO3250XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,565 NURSE PRACTITIONER in MS

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Provider Addresses for KIMBERLY SPROUSE (FNP-C)

  • 344, Town Branch Road, Vernon, Lamar County, Alabama, 35592, United States

    VERNON, AL 355925624

    Phone: (662) 574-1099

    Type: Mailing

  • E Livingston Ave & Bairsford Dr, Livingston Avenue, Idlewood Manor, Columbus, Ohio, 43068, United States

    SUITE H

    COLUMBUS, MS 397051251

    Phone: (662) 570-4507

    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: 2022-02-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180731000441INurse PractitionerALTBD
I20220216002345INurse PractitionerMSTBD

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 35592)

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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: 5193180297View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineAL

Reviews

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Frequently asked questions

Does KIMBERLY SPROUSE (FNP-C) have a public NPI I can cite?
Public records show KIMBERLY SPROUSE (FNP-C) under NPI 1922549773.
Does the public listing show KIMBERLY SPROUSE (FNP-C) as active?
KIMBERLY SPROUSE (FNP-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits KIMBERLY SPROUSE (FNP-C)?
NPPES ties KIMBERLY SPROUSE (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KIMBERLY SPROUSE (FNP-C)?
KIMBERLY SPROUSE (FNP-C) is associated with Vernon, Alabama in the same public data insurers reference.
Who maintains KIMBERLY SPROUSE (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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