KIMBERLY MCCONNELL (CNM) – Advanced Practice Midwife, NPI 1003396672

KIMBERLY MCCONNELL (CNM) is a healthcare provider. based in Panama city, Florida. specializing in Advanced Practice Midwife. They hold the professional credentials CNM. They hold a License No. APRN11004896 (FL). The NPI Number for KIMBERLY MCCONNELL (CNM) is 1003396672

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MCCONNELL (CNM)
NPI
1003396672
Phone
(850) 769-0338
Address
103 E 23RD ST
Enumeration Date
14 August 2018
Last Update Date
13 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8507690338
Graduation Year
2018 (8 years ago)
PAC ID
4587916028
Group Practice PAC ID
5395807218
Professional Enrollment ID
I20200114001338
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for KIMBERLY MCCONNELL (CNM)

  • 103, East 23rd Street, Panama City, Bay County, Florida, 32405, United States

    PANAMA CITY, FL 324054501

    Phone: (850) 769-0338

    Fax: (850) 640-2195

    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 13 Open Payments records for all available years, with a total value of $264.

Total Amount is formed as General ($264) + Research ($0) + Ownership ($0) = $264.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($80).

Total Amount

$264

General + Research + Ownership

Payments

13

Total payment records

General Amount

$264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

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: 2020-01-14

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
I20200114001338ICertified Nurse Midwife (Cnm)FLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32405)

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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: 5395807218View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
-CO
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL

Reviews

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Frequently asked questions

Where can patients find KIMBERLY MCCONNELL (CNM)'s NPI?
You can confirm KIMBERLY MCCONNELL (CNM) with NPI 1003396672; it appears in the national provider directory.
Does this profile mean KIMBERLY MCCONNELL (CNM) is currently active?
Yes — KIMBERLY MCCONNELL (CNM) appears active in the national provider directory.
What field does KIMBERLY MCCONNELL (CNM) work in?
You can think of KIMBERLY MCCONNELL (CNM) as practicing within Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY MCCONNELL (CNM)'s primary listing?
We display Panama City, Florida because that is what the record indicates for KIMBERLY MCCONNELL (CNM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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