MS. KIMBERLY ANN TALLEY (APRN) – Family Nurse Practitioner, NPI 1376277665
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,393 NURSE PRACTITIONER in OR
Provider Addresses for MS. KIMBERLY ANN TALLEY (APRN)
311 PORTER ST
SENATOBIA, MS 386681919
Phone: (662) 801-6117
Type: Mailing
2589 NW EDENBOWER BLVD
ROSEBURG, OR 974716224
Phone: (541) 529-9190
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($140) + Research ($50) + Ownership ($0) = $190.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: ABBVIE INC. ($125).
Total Amount
$190
General + Research + Ownership
Payments
3
Total payment records
General Amount
$140
General payments
Research Amount
$50
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $125 |
| Novo Nordisk AS | $50 |
| Novo Nordisk Inc | $15 |
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: 2024-10-09
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20241009003566 | I | Nurse Practitioner | OR | 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 | 102 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 38 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 55 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 34 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 29 | $0 |
Insurance plans in this area (ZIP 38668)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | ID | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | OR | |
| - | CA | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | OR | |
| - | OR | |
| Family Practice | FL | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | OR |
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