KIMBERLY ANNA (APRN) – Nurse Practitioner, NPI 1356347199

KIMBERLY ANNA (APRN) is a healthcare provider. based in Louisville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3002162 (KY). The NPI Number for KIMBERLY ANNA (APRN) is 1356347199

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANNA (APRN)
NPI
1356347199
Phone
(502) 774-8631
Address
2215 PORTLAND AVE
Enumeration Date
27 June 2005
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5027748631
Graduation Year
1998 (28 years ago)
PAC ID
0547328478
Group Practice PAC ID
6901700053
Professional Enrollment ID
I20081022000338
Address ID
KY402121033LO2215XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for KIMBERLY ANNA (APRN)

  • 2215, Portland Avenue, Louisville, Jefferson County, Kentucky, 40212, United States

    LOUISVILLE, KY 402121033

    Phone: (502) 774-8631

    Fax: (502) 776-8912

    Type: Location

  • PO BOX 950244

    LOUISVILLE, KY 402950244

    Phone: (502) 953-4700

    Fax: (502) 772-8189

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Organon LLC ($42).

Total Amount

$73

General + Research + Ownership

Payments

4

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-22

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
I20081022000338INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40212)

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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: 6901700053View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
-KY
Clinical Social WorkerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Clinical Social WorkerKY
Family PracticeKY

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLY ANNA (APRN) in U.S. healthcare records?
The official identifier for KIMBERLY ANNA (APRN) is NPI 1356347199.
Is there an active status for KIMBERLY ANNA (APRN)?
For scheduling context, KIMBERLY ANNA (APRN) is shown as active in the registry.
What area of care is associated with KIMBERLY ANNA (APRN)?
KIMBERLY ANNA (APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KIMBERLY ANNA (APRN)?
Directory geography for KIMBERLY ANNA (APRN) centers on Louisville, Kentucky.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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