KIMBERLY GRIGGS – Nurse Practitioner, NPI 1043929573

KIMBERLY GRIGGS is a healthcare provider. based in Osceola, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 222246 (AR). The NPI Number for KIMBERLY GRIGGS is 1043929573

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY GRIGGS
NPI
1043929573
Phone
(870) 563-6504
Address
P.O. BOX 167
Enumeration Date
23 November 2022
Last Update Date
23 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705636504
Graduation Year
2022 (4 years ago)
PAC ID
7810369493
Group Practice PAC ID
9739230723
Professional Enrollment ID
I20230207003603
Address ID
AR723703014OS602XXBXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for KIMBERLY GRIGGS

  • P.O. BOX 167

    OSCEOLA, AR 723703022

    Phone: (870) 563-6504

    Fax: (870) 563-7482

    Type: Mailing

  • 602 W UNION AVE STE B

    OSCEOLA, AR 723703022

    Phone: (870) 563-6504

    Fax: (870) 563-7482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($42).

Total Amount

$161

General + Research + Ownership

Payments

9

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

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: 2023-02-07

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
I20230207003603INurse PractitionerARTBD

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 72370)

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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: 9739230723View full group profile
NameSpecialtyState
-TN
O B S T E T R I C S/ G Y N E C O L O G YME
Nurse PractitionerAR
Nurse PractitionerAR
-AR
Family Practice, Emergency MedicineAR
Certified Registered Nurse Anesthetist (Crna)AR
-AR
-AR
-MS

Reviews

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Frequently asked questions

What is the registry number for KIMBERLY GRIGGS?
The registry entry for KIMBERLY GRIGGS shows NPI 1043929573.
Quick check: is KIMBERLY GRIGGS active?
Public NPPES data shows KIMBERLY GRIGGS with an active NPI status right now.
What type of care does KIMBERLY GRIGGS provide?
KIMBERLY GRIGGS's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY GRIGGS?
KIMBERLY GRIGGS shows a connection to Osceola, Arkansas in registry-derived data.
Can I export KIMBERLY GRIGGS's record?
You can download the official NPPES record; we summarize key fields for readability.

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