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KIMBERLY MOSLEY APRN
NPI 1083649495
Nurse Practitioner in Louisville, KY

Active since July 12, 2006PECOS EnrolledCLIA 18D2078976 · Waiver
1941 BISHOP LN STE 506, LOUISVILLE, KY 40218(502) 459-0220(844) 274-2148 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2024, Aug 31, 2020, Aug 28, 2020 and 1 more (4 updates tracked since 2019).

About Kimberly Mosley Aprn NPPES

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

KIMBERLY MOSLEY APRN (NPI 1083649495) is an individual nurse practitioner in Louisville, Kentucky, licensed in Kentucky (3004320) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 8, 2028, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1083649495
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY MOSLEYCredential: APRN
Location Address1941 BISHOP LN STE 506Louisville, KY 40218-1969
Mailing Address6907 Catalpa Springs DrLouisville, KY 40228-2393 · (502) 432-6586 · Fax (844) 274-2148
Phone(502) 459-0220
Fax(844) 274-2148
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 12, 2006
Last NPPES UpdateJanuary 5, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1083649495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3004320
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 · Adult HealthTaxonomy 363LA2200X · License 3004320 (KY)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 3004320 (KY)
1941 BISHOP LN STE 506, Louisville, KY 40218
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Other Identifiers 2

Medicaid7801785200KY
Medicaid200824210AIN

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 Mosley Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971511031
PECOS Enrollment IDI20060330000656, I20260424001161
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2078976

Kimberly Mosley Aprn · Louisville, KY
Active · expires Jun 8, 2028
CLIA Number18D2078976
Laboratory TypePractitioner Other
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorMs. Kimberly Mosley
Laboratory Phone(502) 432-6586
Laboratory LocationKimberly Mosley Aprn1941 Bishop Lane, Ste 506, Louisville, KY 40218
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

JOLYNN GAITHER-WILSON APRN
Nurse Practitioner (Psychiatric/Mental Health)
1941 BISHOP LN STE 506
LOUISVILLE, KY 40218
Jefferson County (502) 203-1084

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 Mosley's NPI number?

The NPI number for Kimberly Mosley is 1083649495. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kimberly Mosley located?

Kimberly Mosley practices at 1941 Bishop Ln Ste 506, Louisville, KY 40218. The listed phone number is (502) 459-0220.

What is Kimberly Mosley's specialty?

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

Is Kimberly Mosley enrolled in Medicare?

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

Does Kimberly Mosley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2078976) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kimberly Mosley was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.