ANDREA LORA ACQUAVIVA-KIMBROUGH FNP-BC
NPI 1023624319
Nurse Practitioner - Family in Morristown, TN

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
220 DOCTOR M.L.K. JR PKWY, MORRISTOWN, TN 37813(423) 587-1987 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2022, Jan 24, 2022, Sep 22, 2020 (3 updates tracked since 2020).

About Andrea Lora Acquaviva-kimbrough Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA LORA ACQUAVIVA-KIMBROUGH FNP-BC (NPI 1023624319) is an individual family provider in Morristown, Tennessee, licensed in Tennessee (28021) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and maintains a secondary practice location in Morristown.

NPPES Registry Identity

NPI1023624319
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA LORA ACQUAVIVA-KIMBROUGHCredential: FNP-BC
Location Address220 DOCTOR M.L.K. JR PKWYMorristown, TN 37813
Mailing Address1436 Crest View CirMorristown, TN 37814-1541 · (423) 736-9541
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 22, 2020
Last NPPES UpdateAugust 2, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1023624319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 28021
220 DOCTOR M.L.K. JR PKWY, Morristown, TN 37813

Secondary Practice Location 1

Location 11436 Crest View CirMorristown, TN 37814-1541 · Phone (423) 736-9541

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Lora Acquaviva-kimbrough Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062825672
PECOS Enrollment IDI20201228001563
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrea Acquaviva-kimbrough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
420 W MORRIS BLVD, STE. 400A
Morristown, TN 37813
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Healthstar Physicians PC
  • 85 clinicians in this Medicare group
General Practice
470 COLLIER DR
Sevierville, TN 37862
  • Reassigned Medicare billing, Tennessee enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,052 services18 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
479 services18 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
280 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
224 services147 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
170 services128 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
166 services127 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Acquaviva-kimbrough's NPI number?

The NPI number for Andrea Acquaviva-kimbrough is 1023624319. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Andrea Acquaviva-kimbrough located?

Andrea Acquaviva-kimbrough practices at 220 Doctor M.L.K. Jr Pkwy, Morristown, TN 37813. The listed phone number is (423) 587-1987.

What is Andrea Acquaviva-kimbrough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Andrea Acquaviva-kimbrough enrolled in Medicare?

Yes. Andrea Acquaviva-kimbrough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrea Acquaviva-kimbrough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Acquaviva-kimbrough reassigns Medicare benefits to 2 organizations: Healthstar Physicians, P.C. (Morristown, TN) and Tennessee Spine Wellness & Medical Group LLC (Sevierville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Acquaviva-kimbrough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Acquaviva-kimbrough accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and UnitedHealthcare list Andrea Acquaviva-kimbrough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrea Acquaviva-kimbrough affiliated with any hospitals?

According to CMS data, Andrea Acquaviva-kimbrough is affiliated with Morristown Hamblen Hospital Association.

When was this NPI record last updated?

The NPPES record for Andrea Acquaviva-kimbrough was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.