ANNE KIMBERLY (FNP-C) – Registered Nurse, NPI 1073513453

ANNE KIMBERLY (FNP-C) is a healthcare provider. based in Portland, Oregon. specializing in Registered Nurse. They hold the professional credentials FNP-C. They hold a License No. 092000112N1 (OR). The NPI Number for ANNE KIMBERLY (FNP-C) is 1073513453

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
ANNE KIMBERLY (FNP-C)
NPI
1073513453
Phone
(503) 494-7551
Address
3181SWSAM JACKSON PARK RD
Enumeration Date
28 July 2005
Last Update Date
6 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
1992 (34 years ago)
PAC ID
6305030859
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20101029000010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for ANNE KIMBERLY (FNP-C)

  • 3181SWSAM JACKSON PARK RD

    PORTLAND, OR 972393011

    Phone: (503) 494-7551

    Type: Mailing

  • Eliot Hall, 3203, Southeast Woodstock Boulevard, Eastmoreland, Portland, Metro, Multnomah County, Oregon, 97202, United States

    PORTLAND, OR 972028138

    Phone: (503) 777-7281

    Fax: (503) 777-7209

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 97239)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What is the standard ID for ANNE KIMBERLY (FNP-C) in the U.S.?
In the U.S., ANNE KIMBERLY (FNP-C) is identified by NPI 1073513453.
Quick check: is ANNE KIMBERLY (FNP-C) active?
Public NPPES data shows ANNE KIMBERLY (FNP-C) with an active NPI status right now.
Which specialty label fits ANNE KIMBERLY (FNP-C)?
NPPES ties ANNE KIMBERLY (FNP-C) to Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ANNE KIMBERLY (FNP-C)?
ANNE KIMBERLY (FNP-C) shows a connection to Portland, Oregon in registry-derived data.
Who maintains ANNE KIMBERLY (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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