KIMBERLY ANDERSON (MSN, RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1316599400

KIMBERLY ANDERSON (MSN, RN) is a healthcare provider. based in Bedford, Massachusetts. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials MSN, RN. They hold a License No. RN2298561 (MA). The NPI Number for KIMBERLY ANDERSON (MSN, RN) is 1316599400

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANDERSON (MSN, RN)
NPI
1316599400
Phone
(781) 761-5180
Address
205 BURLINGTON RD
Enumeration Date
10 July 2019
Last Update Date
7 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7818623600
Graduation Year
2020 (6 years ago)
PAC ID
7618382011
Group Practice PAC ID
4486681087
Professional Enrollment ID
I20210217001478
Address ID
MA017301406BE205XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

199 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MA

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Provider Addresses for KIMBERLY ANDERSON (MSN, RN)

  • 205 Burlington Rd, Burlington Road, Bedford, Middlesex County, Massachusetts, 01803-5327, United States

    BEDFORD, MA 017301406

    Phone: (781) 761-5180

    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)

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: 2021-02-17

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
I20210217001478ICertified Clinical Nurse Specialist (Cns)MATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3613$0
99212Established patient office or other outpatient visit, 10-19 minutes2312$0
View full utilization report →

Insurance plans in this area (ZIP 01730)

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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: 4486681087View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
-MA
Clinical Social WorkerMA
Mental Health CounselorMA
-MA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLY ANDERSON (MSN, RN) in U.S. healthcare records?
The official identifier for KIMBERLY ANDERSON (MSN, RN) is NPI 1316599400.
Is KIMBERLY ANDERSON (MSN, RN) shown as active in public data?
Registry records indicate KIMBERLY ANDERSON (MSN, RN) maintains an active NPI.
What clinical focus is listed for KIMBERLY ANDERSON (MSN, RN)?
At a glance, KIMBERLY ANDERSON (MSN, RN) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is KIMBERLY ANDERSON (MSN, RN) registered?
Use Bedford, Massachusetts as the headline location for KIMBERLY ANDERSON (MSN, RN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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