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

Q: 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.

Q: What is Kimberly Shahbazi's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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

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Other Identifiers 1

Other6582TN · License

Medicare Participation & PECOS CMS

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

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.

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