KIMBERLIE ANN TAYLOR (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164077384

KIMBERLIE ANN TAYLOR (CRNP) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP020627 (PA). The NPI Number for KIMBERLIE ANN TAYLOR (CRNP) is 1164077384

Main info

Female
-3 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLIE ANN TAYLOR (CRNP)
NPI
1164077384
Phone
(347) 570-8274
Address
535 GILHAM ST
Enumeration Date
5 August 2019
Last Update Date
5 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7248363960
Graduation Year
2029 (-3 years ago)
PAC ID
1759702855
Group Practice PAC ID
5597163949
Professional Enrollment ID
I20200527003241
Address ID
PA156015484GR40XXXEXTX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

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Provider Addresses for KIMBERLIE ANN TAYLOR (CRNP)

  • 535, Gilham Street, Lawndale, Philadelphia, Philadelphia County, Pennsylvania, 19111, United States

    PHILADELPHIA, PA 191115230

    Phone: (347) 570-8274

    Type: Mailing

  • 404, East High Street, Hanover Court, Pottstown, Montgomery County, Pennsylvania, 19464, United States

    POTTSTOWN, PA 194645622

    Phone: (484) 973-6661

    Fax: (610) 323-6058

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $884.

Total Amount is formed as General ($884) + Research ($0) + Ownership ($0) = $884.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($173).

Total Amount

$884

General + Research + Ownership

Payments

14

Total payment records

General Amount

$884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2020-05-27

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
I20200527003241INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19111)

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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: 5597163949View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Marriage And Family TherapistNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Nurse PractitionerMD
Nurse PractitionerNJ
Mental Health CounselorPA
Psychiatry, Addiction MedicineNY
Clinical Social WorkerPA
Clinical Social WorkerPA

Reviews

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Frequently asked questions

Is KIMBERLIE ANN TAYLOR (CRNP) listed with a National Provider Identifier?
Yes — KIMBERLIE ANN TAYLOR (CRNP) has NPI 1164077384 on file in the registry.
Is KIMBERLIE ANN TAYLOR (CRNP) shown as active in public data?
Registry records indicate KIMBERLIE ANN TAYLOR (CRNP) maintains an active NPI.
What expertise is attributed to KIMBERLIE ANN TAYLOR (CRNP)?
KIMBERLIE ANN TAYLOR (CRNP)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is KIMBERLIE ANN TAYLOR (CRNP) registered?
Use Philadelphia, Pennsylvania as the headline location for KIMBERLIE ANN TAYLOR (CRNP) here.
Can I trust this NPI listing for KIMBERLIE ANN TAYLOR (CRNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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