MRS. KIMBERLY MICHELLE RAWLS (APRN) – Family Nurse Practitioner, NPI 1174001382
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MRS. KIMBERLY MICHELLE RAWLS (APRN)
3801 CAMDEN ROAD
SUITE 22
PINE BLUFF, AR 71603
Phone: (870) 461-1517
Type: Location
505, Sycamore Street, Rison, Cleveland County, Arkansas, 71665, United States
RISON, AR 71665
Phone: (870) 325-6255
Type: Location
1560 PUMPKIN HILL RD
RISON, AR 716658727
Phone: (870) 556-0561
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,049.
Total Amount is formed as General ($1,049) + Research ($0) + Ownership ($0) = $1,049.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($227).
Total Amount
$1,049
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,049
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
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: 2026-01-13
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 |
|---|---|---|---|---|
| I20260113001058 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 71603)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| - | AR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.