KIMBERLY RAY GIBSON (ARNP) – Nurse Practitioner, NPI 1093931487
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,347 NURSE PRACTITIONER in KY
Provider Addresses for KIMBERLY RAY GIBSON (ARNP)
100 E LIBERTY ST
SUITE 800
LOUISVILLE, KY 402021434
Phone: (270) 422-5000
Fax: (270) 422-5052
Type: Mailing
534 HILLCREST DR
BRANDENBURG, KY 401081222
Phone: (270) 422-5000
Fax: (270) 422-5052
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-01-17 • Largest payer in this snapshot: Mylan Specialty L.P. ($29).
Total Amount
$29
General + Research + Ownership
Payments
1
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $29 |
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: 2007-08-13
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 |
|---|---|---|---|---|
| I20070813000370 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 139 | 86 | $0 |
| 81003 | Automated urinalysis test | 34 | 20 | $0 |
| 71046 | X-ray of chest, 2 views | 19 | 18 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 19 | 19 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 18 | 17 | $0 |
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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