MRS. KIMBERLY NICHOLE BRYANT (APRN) – Family Nurse Practitioner, NPI 1235719584

MRS. KIMBERLY NICHOLE BRYANT (APRN) is a healthcare provider. based in Defuniak springs, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11011482 (FL). The NPI Number for MRS. KIMBERLY NICHOLE BRYANT (APRN) is 1235719584

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY NICHOLE BRYANT (APRN)
NPI
1235719584
Phone
(850) 951-4507
Address
4415 US HIGHWAY 331 S
Enumeration Date
12 April 2021
Last Update Date
7 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508922888
Graduation Year
2020 (6 years ago)
PAC ID
4183024532
Group Practice PAC ID
7810806288
Professional Enrollment ID
I20210607002751
Address ID
FL324352529DE21XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MRS. KIMBERLY NICHOLE BRYANT (APRN)

  • 4415 US HIGHWAY 331 S

    DEFUNIAK SPRINGS, FL 324356307

    Phone: (850) 951-4507

    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 92 Open Payments records for all available years, with a total value of $1,529.

Total Amount is formed as General ($1,529) + Research ($0) + Ownership ($0) = $1,529.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($341).

Total Amount

$1,529

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,529

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

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: 2021-06-07

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
I20210607002751INurse 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 32435)

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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: 7810806288View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for MRS. KIMBERLY NICHOLE BRYANT (APRN)?
Save NPI 1235719584 if you need a stable reference for MRS. KIMBERLY NICHOLE BRYANT (APRN).
Is MRS. KIMBERLY NICHOLE BRYANT (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MRS. KIMBERLY NICHOLE BRYANT (APRN) treat or focus on?
Patients typically see MRS. KIMBERLY NICHOLE BRYANT (APRN) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. KIMBERLY NICHOLE BRYANT (APRN)'s primary listing?
We display Defuniak Springs, Florida because that is what the record indicates for MRS. KIMBERLY NICHOLE BRYANT (APRN).
What if Defuniak Springs, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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