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KIMBERLY SHAHBAZI APN
NPI 1073916458
Nurse Practitioner - Family in Johnson City, TN

Active since September 30, 2014PECOS Enrolled
401 E MAIN ST, JOHNSON CITY, TN 37601(423) 929-2584(423) 722-2060 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Shahbazi Apn NPPES

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

KIMBERLY SHAHBAZI APN (NPI 1073916458) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (6582) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073916458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY SHAHBAZICredential: APN
Location Address401 E MAIN STJohnson City, TN 37601-4877
Mailing Address401 E Main StJohnson City, TN 37601-4877 · (423) 929-2584 · Fax (423) 722-2060
Phone(423) 929-2584
Fax(423) 722-2060
Sole ProprietorNo
Enumeration DateSeptember 30, 2014
✔ NPI 1073916458 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 · 6582
401 E MAIN ST, Johnson City, TN 37601
Open in Google Maps ↗

Other Identifiers 1

Other6582TN · License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Shahbazi Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kimberly Shahbazi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Care PLLC
5.9 mi
Family Medicine
1500 W ELK AVE
Elizabethton, TN 37643
  • Reassigned Medicare billing, Tennessee enrollment
  • 63 clinicians in this Medicare group
NPI 1851537260 (423) 431-0509

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37601 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.

Other Providers at the Same Location NPPES 20

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

TIMOTHY O MCBRIDE MD
Internal Medicine
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 929-2584
DR. CLINTON STEVE WEBB MD
Family Medicine
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 929-2584
DR. NAZIA IQBAL SHEHZAD MD
Family Medicine
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 929-2584
MS. OLIVIA MCKAYLA BARNETT COTA/L
Occupational Therapy Assistant
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 722-2062
RACHEL CALL MSOT, OTR/L
Occupational Therapist
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 722-2062
MRS. SUSAN POPE CHINOUTH OTR/L
Occupational Therapist (Pediatrics)
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 232-2866
DR. LORI ANN CHURCH MD
Family Medicine
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 929-2584
MRS. JOEY HUNSINGER FNP
Family Medicine
401 E MAIN ST
JOHNSON CITY, TN 37601
Washington County (423) 929-2584

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 Shahbazi's NPI number?

The NPI number for Kimberly Shahbazi is 1073916458. It was assigned to this individual provider in the NPPES registry on September 30, 2014.

Where is Kimberly Shahbazi located?

Kimberly Shahbazi practices at 401 E Main St, Johnson City, TN 37601. The listed phone number is (423) 929-2584.

What is Kimberly Shahbazi's specialty?

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

Is Kimberly Shahbazi enrolled in Medicare?

Yes. Kimberly Shahbazi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Shahbazi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Shahbazi reassigns Medicare benefits to Medical Care PLLC (Elizabethton, TN). The 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 Kimberly Shahbazi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Shahbazi was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.