MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) – Family Nurse Practitioner, NPI 1053640342

MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) is a healthcare provider. based in Lees summit, Missouri. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-BC. They hold a License No. 2009038441 (MO). The NPI Number for MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) is 1053640342

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC)
NPI
1053640342
Phone
(816) 554-9500
Address
1900 E LANGSFORD RD
Enumeration Date
15 December 2009
Last Update Date
19 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2009 (17 years ago)
PAC ID
7517097538
Group Practice PAC ID
7416043807
Professional Enrollment ID
I20101116000049
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC)

  • 1900, East Langsford Road, Lee's Summit, Jackson County, Missouri, 64063, United States

    LEES SUMMIT, MO 640633600

    Phone: (816) 554-9500

    Type: Location

  • 12401, East 37th Terrace South, Ramsgate, Independence, Jackson County, Missouri, 64055, United States

    INDEPENDENCE, MO 640557101

    Phone: (816) 392-5714

    Type: Mailing

  • 1 CVS DR

    WOONSOCKET, RI 028956146

    Phone: (866) 389-2727

    Type: Mailing

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: 2025-09-16

PECOS data refreshed: 2026-05-27

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 64063)

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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: 7416043807View full group profile
NameSpecialtyState
MELISSA BUSH
Nurse PractitionerMO
ASHLEY MCCUNE
Nurse PractitionerMO
MY LE THI BARNHART
Nurse PractitionerMO
MR. NATHAN MOORE (APRN-C)
Nurse PractitionerFL
Unknown Individual
-MO
VALERIE BUSSARD (NP-C)
Nurse PractitionerMO
MRS. ANGELA M. SWARY (ARNP C)
Nurse PractitionerFL
CAITLIN AMANDA PETRY (MSN, FNP-C)
Nurse PractitionerMO
SATIE BRUNK (NP)
Nurse PractitionerMO
KELLY LYNN MARTIN (NP-C)
-MO

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Frequently asked questions

Can I use this page to confirm MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC)'s NPI?
Yes. MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) is listed with NPI 1053640342 in the public NPI dataset.
Can I rely on MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) being an active provider?
As of the registry snapshot, MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) is marked active.
What is MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) best known for clinically?
Directory data describes MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) based?
MRS. MERCEDITA VILLAR KIMBROUGH (FNP-BC) is tied to Lees Summit, Missouri in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.