MRS. FELICIA DESHA KIMBROUGH (FNP BC) – Nurse Practitioner, NPI 1679740708
Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MRS. FELICIA DESHA KIMBROUGH (FNP BC)
7, South Hospital Drive, Murphysboro, Jackson County, Illinois, 62966, United States
MURPHYSBORO, IL 629663333
Phone: (618) 687-3418
Fax: (618) 687-1859
Type: Location
109, California Street, Carterville, Williamson County, Illinois, 62918, United States
CARTERVILLE, IL 629181923
Phone: (618) 985-8221
Fax: (618) 985-6860
Type: Mailing
1301 E WALNUT ST RM J120
CARBONDALE, IL 629015004
Phone: (618) 519-9200
Fax: (618) 457-8931
Type: Location
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 $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($168).
Total Amount
$299
General + Research + Ownership
Payments
4
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $168 |
| Edwards Lifesciences Corporation | $130 |
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: 2013-07-26
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 |
|---|---|---|---|---|
| I20130726000176 | I | Nurse Practitioner | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62966)
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