HOLLY D KIMBERLIN (APRN) – Family Nurse Practitioner, NPI 1053982918
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for HOLLY D KIMBERLIN (APRN)
2200 JEFFERSON AVE FL 5
TOLEDO, OH 436047102
Phone:
Type: Mailing
225 MEDICAL CENTER DR STE 101
PADUCAH, KY 420037934
Phone: (270) 441-4357
Type: Location
2501 Kentucky Ave Fl 5
Paducah, KY 420033813
Phone: (270) 575-2598
Type: Location
1532 LONE OAK RD STE 320
PADUCAH, KY 420037942
Phone: (270) 415-3832
Fax: (270) 415-3831
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $984.
Total Amount is formed as General ($984) + Research ($0) + Ownership ($0) = $984.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Boston Scientific Corporation ($268).
Total Amount
$984
General + Research + Ownership
Payments
36
Total payment records
General Amount
$984
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-07-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210716002492 | I | Nurse Practitioner | KY | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 107 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 66 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 21 | 20 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 20 | 20 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 14 | 14 | $0 |
Insurance plans in this area (ZIP 43604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Internal Medicine | TN | |
| Nurse Practitioner | KY | |
| P S Y C H I A T R Y | OH | |
| N E U R O S U R G E R Y | VA | |
| Nurse Practitioner | KY | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Neurology, Internal Medicine | KY | |
| N E U R O L O G Y | OH | |
| U R O L O G Y | LA |
Reviews
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