MRS. KIMBERLEE ANN CLARK-RABY (A.G.N.P.-BC) – Adult Health Nurse Practitioner, NPI 1356580906
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for MRS. KIMBERLEE ANN CLARK-RABY (A.G.N.P.-BC)
Point Equity, 3001, Douglas Boulevard, Roseville, Placer County, California, 95661, United States
#150
ROSEVILLE, CA 956613851
Phone: (916) 241-9844
Fax: (916) 241-9845
Type: Mailing
Roseville Care Center, 1161, Cirby Way, Roseville, Placer County, California, 95661, United States
ROSEVILLE, CA 956614421
Phone: (916) 782-1238
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $304.
Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($112).
Total Amount
$304
General + Research + Ownership
Payments
12
Total payment records
General Amount
$304
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $112 |
| Exact Sciences Corporation | $25 |
| Abbott Laboratories | $25 |
| ABBVIE INC. | $24 |
| Axsome Therapeutics, Inc. | $21 |
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: 2020-11-04
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 |
|---|---|---|---|---|
| I20201104001090 | I | Nurse Practitioner | LA | 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 | 318 | 257 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 120 | 104 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 110 | 110 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 45 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 31 | 30 | $0 |
Insurance plans in this area (ZIP 95661)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | LA | |
| Family Practice | LA | |
| - | LA | |
| Internal Medicine | LA | |
| - | LA | |
| - | LA | |
| - | LA | |
| Nurse Practitioner | LA | |
| Internal Medicine | LA | |
| Family Practice | LA |
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