MS. KIM WILLAMS TRUESDALE (CRNP) – Family Nurse Practitioner, NPI 1609949692

MS. KIM WILLAMS TRUESDALE (CRNP) is a healthcare provider. based in West point, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R576972 (MS). The NPI Number for MS. KIM WILLAMS TRUESDALE (CRNP) is 1609949692

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIM WILLAMS TRUESDALE (CRNP)
NPI
1609949692
Phone
(662) 492-4307
Address
6637 GREENFIELD DR
Enumeration Date
16 November 2006
Last Update Date
1 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6624324106
Graduation Year
1993 (33 years ago)
PAC ID
0840369161
Group Practice PAC ID
0941734990
Professional Enrollment ID
I20080513000327
Address ID
MS397592163ST400XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

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Provider Addresses for MS. KIM WILLAMS TRUESDALE (CRNP)

  • Greenfield & Cesar E Chavez Drive, West Greenfield Avenue, Cesar E. Chavez Drive, Walker Square, Walker's Point, Milwaukee, Milwaukee County, Wisconsin, 53204, United States

    WEST POINT, MS 397736501

    Phone: (662) 492-4307

    Type: Mailing

  • 139, North Oliver Street, Brooksville, Noxubee County, Mississippi, 39739, United States

    BROOKSVILLE, MS 39739

    Phone: (662) 738-4424

    Fax: (662) 738-4615

    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 $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($50).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

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: 2008-05-13

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
I20080513000327INurse PractitionerMSTBD

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
99283Emergency department visit with low level of medical decision making134126$0
99284Emergency department visit with moderate level of medical decision making115109$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4944$0
99282Emergency department visit with straightforward medical decision making4035$0
99285Emergency department visit with high level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 39773)

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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: 0941734990View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineNJ
Emergency MedicineMS
Emergency MedicineAL
Emergency Medicine, Internal Medicine, Emergency MedicineIL
Family Practice, Emergency MedicineND
Nurse PractitionerMS
Emergency Medicine, General Practice, Internal MedicineMS
Emergency MedicineMS
Emergency MedicineMD
Emergency MedicineAL

Reviews

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Frequently asked questions

Does MS. KIM WILLAMS TRUESDALE (CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. KIM WILLAMS TRUESDALE (CRNP) uses 1609949692.
Is MS. KIM WILLAMS TRUESDALE (CRNP) still practicing?
MS. KIM WILLAMS TRUESDALE (CRNP) is currently listed as active in the public NPI registry.
What is MS. KIM WILLAMS TRUESDALE (CRNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MS. KIM WILLAMS TRUESDALE (CRNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. KIM WILLAMS TRUESDALE (CRNP)?
MS. KIM WILLAMS TRUESDALE (CRNP)'s geographic hint is West Point, Mississippi in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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