KIMBERLY RAE CARR (FNP-C) – Family Nurse Practitioner, NPI 1912498585
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
7,065 NURSE PRACTITIONER in MO
Provider Addresses for KIMBERLY RAE CARR (FNP-C)
Cherokee Village, Hinesville, Liberty County, Georgia, 31313, United States
CHEROKEE VILLAGE, AR 725297315
Phone: (870) 257-5118
Type: Mailing
ONE HOSPITAL DR
COLUMBIA, MO 652120001
Phone: (573) 884-8445
Fax: (573) 884-6050
Type: Location
260 Main St
Mammoth Spring, AR 725547466
Phone: (870) 625-3228
Type: Location
260S MAIN ST
MAMMOTH SPRING, AR 725547466
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($49).
Total Amount
$104
General + Research + Ownership
Payments
5
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $49 |
| Exact Sciences Corporation | $32 |
| Novo Nordisk 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: 2023-02-08
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230208000183 | I | Nurse Practitioner | MO | 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 72529)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| - | MO | |
| - | OH | |
| Family Practice | MO | |
| - | WA | |
| Diagnostic Radiology | MO | |
| Emergency Medicine, Internal Medicine | MO | |
| Family Practice | MO | |
| Clinical Psychologist | MO |
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