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KIMBERLY M HAMILTON FNP
NPI 1114206174
Nurse Practitioner - Family in Morehead, KY

Active since August 09, 2011PECOS Enrolled
1028 E MAIN ST, MOREHEAD, KY 40351(606) 783-6400(606) 783-6415 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly M Hamilton Fnp NPPES

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

KIMBERLY M HAMILTON FNP (NPI 1114206174) is an individual family provider in Morehead, Kentucky, licensed in Kentucky (3007077) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114206174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY M HAMILTONCredential: FNP
Location Address1028 E MAIN STMorehead, KY 40351-1328
Mailing Address1028 E Main StMorehead, KY 40351-1328 · (606) 783-6400 · Fax (606) 783-6415
Phone(606) 783-6400
Fax(606) 783-6415
Sole ProprietorNo
Enumeration DateAugust 9, 2011
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1114206174 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 KY · 3007077
1028 E MAIN ST, Morehead, KY 40351
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly M Lewis

Other Identifiers 1

Medicaid7100196680KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly M Hamilton Fnp 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 Reassignments

2

Medicare enrollment records show Kimberly Hamilton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Claire Medical Center, Inc
Same address
Urgent Care
1028 E MAIN ST
Morehead, KY 40351
  • Reassigned Medicare billing, Kentucky enrollment
  • 296 clinicians in this Medicare group
NPI 1316607104 (606) 783-6400
Baptist Health Medical Group Inc
59 mi
Nurse Practitioner
4071 TATES CREEK CENTRE DR, STE 202
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 999 clinicians in this Medicare group
NPI 1518360296 (859) 260-4390

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
198 services146 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services61 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
44 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,074 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,713 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%923 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%923 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%923 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers123 claims123 services$40.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers239 claims239 services$102.23 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
21 suppliers276 claims647 services$38.19 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers102 claims494 services$22.33 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
15 suppliers100 claims526 services$15.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers211 claims211 services$63.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

LEANDRA FREDERICK APRN
Nurse Practitioner (Family)
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 780-5364
MR. MARK ANTHONY GIBSON II DPT
Physical Therapist
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 783-6919
ST CLAIRE MEDICAL CENTER, INC
Clinic/Center (Urgent Care)
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 783-6400
ST CLAIRE MEDICAL CENTER, INC
Clinic/Center (Rural Health)
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 783-6400
ST. CLAIRE MEDICAL CENTER, INC
Family Medicine
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 783-6814
MS. DEBBIE A NEFF MSPT, CLT
Physical Therapist
1028 E MAIN ST, ST. CLAIRE REGIONAL MEDICAL OUTPATIENT CENTER
MOREHEAD, KY 40351
Rowan County (606) 783-6919
MRS. HILLARY WOODWARD CARROLL APRN
Nurse Practitioner (Family)
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 783-6400
ST. CLAIRE REGIONAL MEDICAL CENTER
Clinic/Center
1028 E MAIN ST
MOREHEAD, KY 40351
Rowan County (606) 783-6961

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 Hamilton's NPI number?

The NPI number for Kimberly Hamilton is 1114206174. It was assigned to this individual provider in the NPPES registry on August 9, 2011. The provider is also known as Kimberly M Lewis.

Where is Kimberly Hamilton located?

Kimberly Hamilton practices at 1028 E Main St, Morehead, KY 40351. The listed phone number is (606) 783-6400.

What is Kimberly Hamilton's specialty?

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

Is Kimberly Hamilton enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Hamilton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hamilton reassigns Medicare benefits to 2 organizations: St Claire Medical Center, Inc (Morehead, KY) and Baptist Health Medical Group Inc (Lexington, KY). Each 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 Hamilton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Hamilton accept?

Health plans from CareSource list Kimberly Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Hamilton was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.