KIMBERLY QUEEN (NP) – Nurse Practitioner, NPI 1538677679
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for KIMBERLY QUEEN (NP)
3624 J DEWEY GRAY CIR STE 220
AUGUSTA, GA 309096586
Phone: (706) 650-7442
Type: Mailing
3686, Wheeler Road, Augusta, Richmond County, Georgia, 30909, United States
AUGUSTA, GA 309096520
Phone: (706) 955-5207
Type: Mailing
2703 WASHINGTON RD
AUGUSTA, GA 309092244
Phone: (706) 737-4939
Type: Mailing
Urgent MD, 101, Fornum Drive, Grovetown, Columbia County, Georgia, 30813, United States
GROVETOWN, GA 308132697
Phone: (706) 434-3500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $748.
Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($214).
Total Amount
$748
General + Research + Ownership
Payments
24
Total payment records
General Amount
$748
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-07-02
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 |
|---|---|---|---|---|
| I20180702003494 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 159 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 38 | $0 |
| 82947 | Blood glucose (sugar) level | 40 | 29 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 21 | $0 |
Insurance plans in this area (ZIP 30909)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Interventional Cardiology, Internal Medicine | GA | |
| Physician Assistant | GA | |
| U R O L O G Y | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | INDIA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| General Surgery | GA | |
| General Surgery, Critical Care (Intensivists), General Surgery | ME |
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