CHELSIE KIMBLE – Acute Care Nurse Practitioner, NPI 1730041120

CHELSIE KIMBLE is a healthcare provider. based in Locust grove, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. NP305553 (GA). The NPI Number for CHELSIE KIMBLE is 1730041120

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CHELSIE KIMBLE
NPI
1730041120
Phone
(678) 330-6932
Address
204 BONAVISTA WAY
Enumeration Date
24 November 2025
Last Update Date
24 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4786331000
Graduation Year
2025 (1 year ago)
PAC ID
6103312376
Group Practice PAC ID
9638076730
Professional Enrollment ID
I20251226001852
Address ID
GA312012102MA777XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for CHELSIE KIMBLE

  • 204 BONAVISTA WAY

    LOCUST GROVE, GA 302487116

    Phone: (678) 330-6932

    Type: Mailing

  • 777 HEMLOCK ST

    MACON, GA 312012102

    Phone: (478) 633-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-26

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
I20251226001852INurse PractitionerGATBD

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 30248)

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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: 9638076730View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineNC
Physician AssistantGA
-GA
Cardiac ElectrophysiologyFL
General SurgeryGA
-GA
Orthopedic SurgeryGA
Nurse PractitionerGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for CHELSIE KIMBLE?
The registry entry for CHELSIE KIMBLE shows NPI 1730041120.
Is CHELSIE KIMBLE currently accepting referrals based on NPI status?
Registry metadata lists CHELSIE KIMBLE as active.
Which specialty label fits CHELSIE KIMBLE?
NPPES ties CHELSIE KIMBLE to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to CHELSIE KIMBLE?
CHELSIE KIMBLE shows a connection to Locust Grove, Georgia in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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