KIMBERLY REID PAYNE
NPI 1104220672
Counselor - Professional in Albuquerque, NM
About Kimberly Reid Payne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY REID PAYNE (NPI 1104220672) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (0193131) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Reid Payne 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Payne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87111
- Reassigned Medicare billing, New Mexico enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
ALBUQUERQUE, NM 87111
ALBUQUERQUE, NM 87111
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 Payne's NPI number?
The NPI number for Kimberly Payne is 1104220672. It was assigned to this individual provider in the NPPES registry on October 13, 2014.
Where is Kimberly Payne located?
Kimberly Payne practices at 5203 Juan Tabo Blvd NE Ste 2A, Albuquerque, NM 87111. The listed phone number is (505) 933-6338.
What is Kimberly Payne's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kimberly Payne enrolled in Medicare?
Yes. Kimberly Payne 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.
Which organization bills Medicare for Kimberly Payne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Payne reassigns Medicare benefits to Eating Disorders Treatment Center, LLC (Albuquerque, NM). 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 Payne'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 Payne was last updated on January 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kimberly Reid Payne · NPI 1104220672
Professional provider in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since October 13, 2014.
## Identity
- **NPI:** 1104220672 (Entity type: Individual)
- **Enumerated:** October 13, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 0193131 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 5203 JUAN TABO BLVD NE, STE 2A, Albuquerque, NM 87111-2683
- **Phone:** (505) 933-6338 · **Fax:** (505) 221-5710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Eating Disorders Treatment Center, LLC (NPI 1871881326, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 15, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104220672) · Data from the CMS NPPES public registry.