KIMBERLY DIANE EDWARDS (N.P.) – Nurse Practitioner, NPI 1720064173

KIMBERLY DIANE EDWARDS (N.P.) is a healthcare provider. based in Berea, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 3743P (KY). The NPI Number for KIMBERLY DIANE EDWARDS (N.P.) is 1720064173

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY DIANE EDWARDS (N.P.)
NPI
1720064173
Phone
(859) 985-1415
Address
305 ESTILL ST
Enumeration Date
19 December 2005
Last Update Date
5 June 2014

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
8599861415
Graduation Year
2000 (26 years ago)
PAC ID
2365426251
Group Practice PAC ID
8224946561
Professional Enrollment ID
I20040617000439
Address ID
KY404031742BE305XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for KIMBERLY DIANE EDWARDS (N.P.)

  • Saint Joseph Berea, 305, Estill Street, Berea, Madison County, Kentucky, 40403, United States

    BEREA, KY 404031742

    Phone: (859) 985-1415

    Fax: (859) 986-6752

    Type: Location

  • 1010 MAIN ST S

    MC KEE, KY 404477089

    Phone: (606) 287-7104

    Fax: (606) 287-4409

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $199.

Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: PFIZER INC. ($99).

Total Amount

$199

General + Research + Ownership

Payments

7

Total payment records

General Amount

$199

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

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: 2004-06-17

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
I20040617000439INurse 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
83036Hemoglobin a1c level4826$0
87804Detection test by immunoassay with direct visual observation for influenza virus2319$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1916$0
81002Urinalysis, manual test1311$0
View full utilization report →

Insurance plans in this area (ZIP 40403)

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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: 8224946561View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
Nurse PractitionerTN

Reviews

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Frequently asked questions

How do payers reference KIMBERLY DIANE EDWARDS (N.P.)?
For KIMBERLY DIANE EDWARDS (N.P.), use NPI 1720064173 as the unique 10-digit identifier.
Active or inactive — what applies to KIMBERLY DIANE EDWARDS (N.P.)?
You should see KIMBERLY DIANE EDWARDS (N.P.) as active in CMS-hosted NPPES data.
What area of care is associated with KIMBERLY DIANE EDWARDS (N.P.)?
KIMBERLY DIANE EDWARDS (N.P.)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Kentucky is KIMBERLY DIANE EDWARDS (N.P.) registered?
Use Berea, Kentucky as the headline location for KIMBERLY DIANE EDWARDS (N.P.) here.
Does KIMBERLY DIANE EDWARDS (N.P.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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