KIMBERLY A SHERRILL (MD) – Psychiatry Physician, NPI 1689668089
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
113 PSYCHIATRY in AK
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Provider Addresses for KIMBERLY A SHERRILL (MD)
315, 5th Avenue, South Fairbanks, Fairbanks, Fairbanks North Star, Alaska, 99701, United States
FAIRBANKS, AK 997015025
Phone: (907) 374-7776
Fax: (800) 988-1650
Type: Mailing
4 EXECUTIVE CENTER CT
LITTLE ROCK, AR 722114487
Phone: (501) 448-0060
Type: Location
PO BOX 56649
LITTLE ROCK, AR 722156649
Phone: (501) 224-1690
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($49).
Total Amount
$121
General + Research + Ownership
Payments
6
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150129000210 | I | Psychiatry | AR | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 34 | 13 | $0 |
Insurance plans in this area (ZIP 99701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | AK | 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| P S Y C H I A T R Y | AR | |
| Mental Health Counselor | AR | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | AR | |
| P S Y C H I A T R Y | AR | |
| Clinical Social Worker | AR | |
| P S Y C H I A T R Y | AR | |
| Nurse Practitioner | AR |
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