KIMBERLY HAUGHTON (FNP-BC) – Family Nurse Practitioner, NPI 1164116257

KIMBERLY HAUGHTON (FNP-BC) is a healthcare provider. based in Lakewood ranch, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APRN11026742 (FL). The NPI Number for KIMBERLY HAUGHTON (FNP-BC) is 1164116257

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY HAUGHTON (FNP-BC)
NPI
1164116257
Phone
(941) 361-1100
Address
6600 UNIVERSITY PKWY STE 301
Enumeration Date
2 June 2023
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413611100
Graduation Year
2022 (4 years ago)
PAC ID
6103332028
Group Practice PAC ID
6507054582
Professional Enrollment ID
I20250718001108
Address ID
FL342409048LA6600XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KIMBERLY HAUGHTON (FNP-BC)

  • 6600 UNIVERSITY PKWY STE 301

    LAKEWOOD RANCH, FL 342409048

    Phone: (941) 361-1100

    Fax: (941) 361-1103

    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 11 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($236).

Total Amount

$236

General + Research + Ownership

Payments

11

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-07-18

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
I20250718001108INurse PractitionerFLTBD

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 34240)

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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: 6507054582View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
Internal Medicine, GastroenterologyFL
-FL
-FL
-FL
Gastroenterology, Internal MedicineFL
Gastroenterology, Internal MedicineFL
Physician AssistantFL
-FL

Reviews

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Frequently asked questions

Where can patients find KIMBERLY HAUGHTON (FNP-BC)'s NPI?
You can confirm KIMBERLY HAUGHTON (FNP-BC) with NPI 1164116257; it appears in the national provider directory.
Is KIMBERLY HAUGHTON (FNP-BC) active in the national directory?
KIMBERLY HAUGHTON (FNP-BC)'s public NPI profile is in an active state.
What field does KIMBERLY HAUGHTON (FNP-BC) work in?
You can think of KIMBERLY HAUGHTON (FNP-BC) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KIMBERLY HAUGHTON (FNP-BC) practice in Florida?
You will see Lakewood Ranch, Florida on file for KIMBERLY HAUGHTON (FNP-BC) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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