KIMBERLE S PATTERSON (FNP-C) – Family Nurse Practitioner, NPI 1235553611
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for KIMBERLE S PATTERSON (FNP-C)
1905 W 32ND ST
SUITE 306
JOPLIN, MO 648041529
Phone: (417) 624-2111
Fax: (417) 624-1551
Type: Mailing
4870 Elm Springs Rd
Springdale, AR 727623749
Phone: (479) 306-7484
Fax: (479) 756-1727
Type: Location
PO BOX 776084
CHICAGO, IL 606776084
Phone: (479) 802-5555
Fax: (479) 876-2829
Type: Mailing
1 MERCY WAY STE 20
BELLA VISTA, AR 727143000
Phone: (479) 802-5555
Fax: (479) 876-2829
Type: Location
4870 ELM SPRINGS RD
SPRINGDALE, AR 727623749
Phone: (479) 306-7484
Fax: (479) 756-1727
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $63.
Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($32).
Total Amount
$63
General + Research + Ownership
Payments
4
Total payment records
General Amount
$63
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $32 |
| Phathom Pharmaceuticals, Inc. | $18 |
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2021-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (925 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20141125002293 | I | Nurse Practitioner | MO | 2023-11-30 |
| I20210225000596 | I | Nurse Practitioner | AR | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 64804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | AR | |
| Internal Medicine, General Practice | AR | |
| - | AR | |
| R H E U M A T O L O G Y | AR | |
| - | AR | |
| - | AR | |
| - | AR | |
| Nurse Practitioner | AR |
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