KIMBERLY C PENDLEY – Family Nurse Practitioner, NPI 1912140740

KIMBERLY C PENDLEY is a healthcare provider. based in Greenville, Kentucky. specializing in NURSE PRACTITIONER. They hold a License No. 5984P (KY). The NPI Number for KIMBERLY C PENDLEY is 1912140740

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY C PENDLEY
NPI
1912140740
Phone
(270) 338-5777
Address
480 HOPKINSVILLE ST
Enumeration Date
9 April 2009
Last Update Date
20 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2703385777
Graduation Year
2008 (18 years ago)
PAC ID
1951450857
Group Practice PAC ID
5193769370
Professional Enrollment ID
I20090526000321
Address ID
KY423451124GR480XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

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Provider Addresses for KIMBERLY C PENDLEY

  • Hopkinsville Street, Greenville, Muhlenberg County, Kentucky, 42345, United States

    GREENVILLE, KY 423451124

    Phone: (270) 338-5777

    Fax: (270) 338-5765

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $770.

Total Amount is formed as General ($770) + Research ($0) + Ownership ($0) = $770.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($287).

Total Amount

$770

General + Research + Ownership

Payments

20

Total payment records

General Amount

$770

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2009-05-26

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
I20090526000321INurse 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 42345)

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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: 5193769370View full group profile
NameSpecialtyState
-KY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Clinical Social WorkerKY
Nurse PractitionerKY
Internal MedicineKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY C PENDLEY?
NPI 1912140740 is assigned to KIMBERLY C PENDLEY under the national enumeration system.
Is KIMBERLY C PENDLEY's NPI currently valid?
The extract we use shows KIMBERLY C PENDLEY as active.
What does KIMBERLY C PENDLEY treat or focus on?
Patients typically see KIMBERLY C PENDLEY under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY C PENDLEY's primary listing?
We display Greenville, Kentucky because that is what the record indicates for KIMBERLY C PENDLEY.
How can I contact KIMBERLY C PENDLEY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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