KIMBERLEY JEAN PADEN-HARRIS (FNP) – Family Nurse Practitioner, NPI 1639445257

KIMBERLEY JEAN PADEN-HARRIS (FNP) is a healthcare provider. based in Craig, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 752990 (TX). The NPI Number for KIMBERLEY JEAN PADEN-HARRIS (FNP) is 1639445257

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY JEAN PADEN-HARRIS (FNP)
NPI
1639445257
Phone
(970) 824-1020
Address
595 RUSSELL ST
Enumeration Date
28 March 2012
Last Update Date
27 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708241020
Graduation Year
1986 (40 years ago)
PAC ID
6002071420
Group Practice PAC ID
5890685689
Professional Enrollment ID
I20200113001361
Address ID
CO816251920CR595XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for KIMBERLEY JEAN PADEN-HARRIS (FNP)

  • 595 RUSSELL ST

    CRAIG, CO 816251920

    Phone: (970) 824-1020

    Fax: (970) 824-5300

    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 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-01-18 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
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: 2020-01-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200113001361INurse PractitionerCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11689$0
36415Insertion of needle into vein for collection of blood sample5549$0
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
81003Automated urinalysis test1917$0
View full utilization report →

Insurance plans in this area (ZIP 81625)

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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: 5890685689View full group profile
NameSpecialtyState
-CO
-CO
E N D O C R I N O L O G YTN
-NV
Emergency MedicineCO
Diagnostic Radiology, Interventional RadiologyID
Internal MedicineCO
-CO
Physical Therapist In Private PracticeCO
-FL

Reviews

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Frequently asked questions

Is KIMBERLEY JEAN PADEN-HARRIS (FNP) listed with a National Provider Identifier?
Yes — KIMBERLEY JEAN PADEN-HARRIS (FNP) has NPI 1639445257 on file in the registry.
Is there an active status for KIMBERLEY JEAN PADEN-HARRIS (FNP)?
For scheduling context, KIMBERLEY JEAN PADEN-HARRIS (FNP) is shown as active in the registry.
What expertise is attributed to KIMBERLEY JEAN PADEN-HARRIS (FNP)?
KIMBERLEY JEAN PADEN-HARRIS (FNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KIMBERLEY JEAN PADEN-HARRIS (FNP) located near Craig?
KIMBERLEY JEAN PADEN-HARRIS (FNP) currently maps to Craig, Colorado in this extract.
When was this NPI issued?
Enumeration for KIMBERLEY JEAN PADEN-HARRIS (FNP) is noted as March 28, 2012 where the registry provides it.

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