KIMBERLY MARIE VANDERESPT (APRN) – Family Nurse Practitioner, NPI 1083308134

KIMBERLY MARIE VANDERESPT (APRN) is a healthcare provider. based in Elizabethtown, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4005342 (KY). The NPI Number for KIMBERLY MARIE VANDERESPT (APRN) is 1083308134

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY MARIE VANDERESPT (APRN)
NPI
1083308134
Phone
(502) 791-8700
Address
2407 Ring Rd Ste 135
Enumeration Date
2 June 2023
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5027918700
Graduation Year
2023 (3 years ago)
PAC ID
0446618912
Group Practice PAC ID
9436244522
Professional Enrollment ID
I20230615003108
Address ID
KY402583952LO6801XHWYX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:3State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for KIMBERLY MARIE VANDERESPT (APRN)

  • 2407 Ring Rd Ste 135

    Elizabethtown, KY 427015964

    Phone: (502) 791-8700

    Fax: (502) 742-8523

    Type: Location

  • 6400 Dutchmans Pkwy Ste 60

    Louisville, KY 402053341

    Phone: (502) 791-8700

    Fax: (502) 742-8523

    Type: Location

  • 7951 SHOAL CREEK BLVD STE 300

    AUSTIN, TX 787577582

    Phone: (512) 584-8404

    Type: Mailing

  • 6801 DIXIE HWY STE 135

    LOUISVILLE, KY 402583952

    Phone: (502) 791-8700

    Fax: (502) 742-8523

    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: 2023-06-15

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
I20230615003108INurse PractitionerKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0008Administration of influenza virus vaccine4545$0
99213Established patient office or other outpatient visit, 20-29 minutes3835$0
90662Influenza vaccine split virus, preservative free3737$0
91320Sarscv2 vac 30mcg trs-suc im3535$0
90480Admn sarscov2 vacc 1 dose3535$0
View full utilization report →

Insurance plans in this area (ZIP 42701)

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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: 9436244522View full group profile
NameSpecialtyState
Pain ManagementOH
Physical Medicine And Rehabilitation, Pain ManagementKY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerKY
Physician AssistantTX
Nurse PractitionerTX
Nurse PractitionerOH
Family PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY MARIE VANDERESPT (APRN) for billing?
Administrative and clinical systems typically use NPI 1083308134 for KIMBERLY MARIE VANDERESPT (APRN).
Is KIMBERLY MARIE VANDERESPT (APRN) currently accepting referrals based on NPI status?
Registry metadata lists KIMBERLY MARIE VANDERESPT (APRN) as active.
What does the directory say KIMBERLY MARIE VANDERESPT (APRN) does?
Insurance directories may phrase it differently, but here KIMBERLY MARIE VANDERESPT (APRN) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY MARIE VANDERESPT (APRN)?
KIMBERLY MARIE VANDERESPT (APRN) shows a connection to Elizabethtown, Kentucky in registry-derived data.
Why is information missing for KIMBERLY MARIE VANDERESPT (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.