MRS. KIMBERLY LANE ATWELL (APRN) – Adult Health Nurse Practitioner, NPI 1700330065
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
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Provider Addresses for MRS. KIMBERLY LANE ATWELL (APRN)
7, Shackleford West Boulevard, Little Rock, Pulaski County, Arkansas, 72211, United States
LITTLE ROCK, AR 722113886
Phone: (501) 664-5860
Fax: (501) 664-0889
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)
CMS reports 26 Open Payments records for all available years, with a total value of $534.
Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: MIMEDX Group, Inc. ($243).
Total Amount
$534
General + Research + Ownership
Payments
26
Total payment records
General Amount
$534
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $243 |
| Kerecis Limited | $114 |
| KCI USA, Inc. | $55 |
| Smith+Nephew, Inc. | $38 |
| ABBVIE INC. | $22 |
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: 2017-01-04
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 |
|---|---|---|---|---|
| I20170104001094 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 896 | 125 | $0 |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 355 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 331 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 232 | 96 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 60 | 56 | $0 |
Insurance plans in this area (ZIP 72211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nuclear Medicine | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| General Surgery, Family Practice, Undersea And Hyperbaric Medicine, Vascular Surgery | LA | |
| Nurse Practitioner | AR | |
| Emergency Medicine | MO | |
| Nurse Practitioner | NH | |
| - | AR | |
| Family Practice | AR |
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