KIMBERLY ANN EDWARDS HENSLEY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245117530

KIMBERLY ANN EDWARDS HENSLEY (PMHNP) is a healthcare provider. based in Greenwood, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 71016896A (IN). The NPI Number for KIMBERLY ANN EDWARDS HENSLEY (PMHNP) is 1245117530

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN EDWARDS HENSLEY (PMHNP)
NPI
1245117530
Phone
(317) 777-1034
Address
549 E COUNTY LINE RD STE E
Enumeration Date
19 August 2025
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3177771034
Graduation Year
2024 (2 years ago)
PAC ID
9638668122
Group Practice PAC ID
4183058977
Professional Enrollment ID
I20251025000514
Address ID
IN462502006IN8123XRDXX300
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

8,192 NURSE PRACTITIONER in IN

Provider Addresses for KIMBERLY ANN EDWARDS HENSLEY (PMHNP)

  • 549 E COUNTY LINE RD STE E

    GREENWOOD, IN 461431068

    Phone: (317) 777-1034

    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)

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: 2025-10-25

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
I20251025000514INurse PractitionerINTBD

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 46143)

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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: 4183058977View full group profile
NameSpecialtyState
Nurse PractitionerIN
P S Y C H I A T R YIN
Nurse PractitionerIN
P S Y C H I A T R YIN
A N E S T H E S I O L O G YIN
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

Can I verify KIMBERLY ANN EDWARDS HENSLEY (PMHNP) with an NPI only?
You can start verification with NPI 1245117530 for KIMBERLY ANN EDWARDS HENSLEY (PMHNP), then check state licensing separately.
Does the file indicate KIMBERLY ANN EDWARDS HENSLEY (PMHNP) is practicing under active NPI?
Directory data currently reports KIMBERLY ANN EDWARDS HENSLEY (PMHNP) as active.
What taxonomy line describes KIMBERLY ANN EDWARDS HENSLEY (PMHNP)?
For research purposes, treat KIMBERLY ANN EDWARDS HENSLEY (PMHNP) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY ANN EDWARDS HENSLEY (PMHNP) serve?
KIMBERLY ANN EDWARDS HENSLEY (PMHNP)'s listing highlights Greenwood, Indiana; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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