KIMBERLY HENDERSON (NP) – Family Nurse Practitioner, NPI 1841280286
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
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Provider Addresses for KIMBERLY HENDERSON (NP)
Post Office Drive Up Box, Foothills Plaza, Sherwood Forest, Maryville, Blount County, East Tennessee, Tennessee, 37802, United States
MARYVILLE, TN 378024068
Phone: (865) 273-1752
Fax: (865) 273-1755
Type: Mailing
Blount Memorial Hospital, 907, East Lamar Alexander Parkway, Grandview Heights, Hillsdale, Maryville, Blount County, Tennessee, 37804, United States
MARYVILLE, TN 378045015
Phone: (865) 980-4897
Fax: (865) 977-4796
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2024-05-28 • Largest payer in this snapshot: ABIOMED ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $25 |
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: 2008-12-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (893 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20081229000398 | I | Nurse Practitioner | TN | 2023-12-31 |
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 37802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| - | TN | |
| - | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| General Surgery, Vascular Surgery | SC | |
| - | TN | |
| N E U R O L O G Y | CA | |
| Physician Assistant | SC | |
| Nurse Practitioner | TN |
Reviews
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