KIMBERLY RAE HORNER AG-ACNP BC
NPI 1083086433
Nurse Practitioner - Acute Care in Cookeville, TN

Q: What is Kimberly Horner's NPI number?

The NPI number for Kimberly Horner is 1083086433. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Q: What is Kimberly Horner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Horner was last updated on January 4, 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.

Active since October 26, 2015PECOS EnrolledAccepts Medicare Assignment

228 W 4TH ST STE 200, COOKEVILLE, TN 38501(931) 372-0405(931) 372-0463 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, May 21, 2021, May 15, 2017 and 1 more (4 updates tracked since 2017).

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About Kimberly Rae Horner Ag-acnp Bc NPPES

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

KIMBERLY RAE HORNER AG-ACNP BC (NPI 1083086433) is an individual acute care provider in Cookeville, Tennessee, licensed in Tennessee (20610) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083086433

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameKIMBERLY RAE HORNERCredential: AG-ACNP BC

Location Address228 W 4TH ST STE 200Cookeville, TN 38501-2489

Mailing Address127 N Oak Ave, Suite DCookeville, TN 38501-2435 · (931) 783-5857 · Fax (931) 526-6760

Phone(931) 372-0405

Fax(931) 372-0463

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 26, 2015

Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration

NPPES CertifiedMay 21, 2021

✔ NPI 1083086433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 20610

228 W 4TH ST STE 200, Cookeville, TN 38501

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Medical Center BlvdCookeville, TN 38501-4294 · Phone (931) 783-5582 · Fax (931) 526-6760

Location 22400 Patterson St Ste 502Nashville, TN 37203-6511 · Phone (615) 515-1900

Other Identifiers 3

Other6055560TN · Bcbs

Medicaid7100421130KY

MedicaidQ018245TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company.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 Rae Horner Ag-acnp 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 ID4688975287

PECOS Enrollment IDI20151228001258

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.

Hospital Affiliations CMS Care Compare

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

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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 9

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

ADRIAN MICHAEL DANCHENKO MD

Internal Medicine (Cardiovascular Disease)