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KIMBERLY ANNE GRUGAN APRN
NPI 1043334667
Nurse Practitioner in Marion, NC

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
472 RANKIN DR, MARION, NC 28752(828) 652-1400(828) 652-7507 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, Dec 24, 2015 (2 updates tracked since 2015).

About Kimberly Anne Grugan Aprn NPPES

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

KIMBERLY ANNE GRUGAN APRN (NPI 1043334667) is an individual nurse practitioner in Marion, North Carolina, licensed in North Carolina (154282) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043334667
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY ANNE GRUGANCredential: APRN
Location Address472 RANKIN DRMarion, NC 28752-6568
Mailing Address46 Springwood DrAsheville, NC 28805-1643 · (828) 299-4644 · Fax (828) 652-7507
Phone(828) 652-1400
Fax(828) 652-7507
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 19, 2007
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
✔ NPI 1043334667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 154282
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201706 (NC)
472 RANKIN DR, Marion, NC 28752
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Anne Grugan Aprn 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 ID7315176252
PECOS Enrollment IDI20140218002116
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28752 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNE DURHAM TRUITT FNP
Nurse Practitioner (Family)
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 652-1400
WESLEY ADAM DAVENPORT NP
Nurse Practitioner
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 652-1400
MRS. REBECCA G FISCHER PA-C
Physician Assistant
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 652-1400
TAYLOR LEE FISCHER PA
Physician Assistant
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 652-1400
MR. DALE JAMES BUCHANAN FNP
Nurse Practitioner
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 659-5700
DR. COURTNEY DAWN MULL MD
Family Medicine
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 652-1400
LINDA L GALE PA-C
Physician Assistant
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 652-1400
MH MISSION HOSPITAL MCDOWELL, LLLP
Clinic/Center (Rural Health)
472 RANKIN DR
MARION, NC 28752
McDowell County (828) 659-5700

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 Kimberly Grugan's NPI number?

The NPI number for Kimberly Grugan is 1043334667. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Kimberly Grugan located?

Kimberly Grugan practices at 472 Rankin Dr, Marion, NC 28752. The listed phone number is (828) 652-1400.

What is Kimberly Grugan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Grugan enrolled in Medicare?

Yes. Kimberly Grugan 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.

What insurance does Kimberly Grugan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Kimberly Grugan 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.

When was this NPI record last updated?

The NPPES record for Kimberly Grugan was last updated on January 27, 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.