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KIMBERLY A ROBERTSON CRNP
NPI 1114929742
Nurse Practitioner in Dadeville, AL

Active since August 12, 2005PECOS Enrolled
301 MARIARDEN RD, SUITE D, DADEVILLE, AL 36853(256) 825-3280(256) 827-0808 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly A Robertson Crnp NPPES

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

KIMBERLY A ROBERTSON CRNP (NPI 1114929742) is an individual nurse practitioner in Dadeville, Alabama, licensed in Alabama (1-037958) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114929742
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY A ROBERTSONCredential: CRNP
Location Address301 MARIARDEN RD, SUITE DDadeville, AL 36853-6254
Mailing Address301 Mariarden Rd, Suite DDadeville, AL 36853-6254 · (256) 825-7871 · Fax (256) 827-0808
Phone(256) 825-3280
Fax(256) 827-0808
Sole ProprietorNo
Enumeration DateAugust 12, 2005
Last NPPES UpdateMarch 8, 2012
✔ NPI 1114929742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in AL · 1-037958✔ Licensed in FL · 9199035
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.
301 MARIARDEN RD, Dadeville, AL 36853
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Other Identifiers 4

Medicare UPINS11762FL
Medicare PINU4058XFL
Medicare PINU4058AFL
Medicaid540003420AL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly A Robertson Crnp 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 Reassignment

Medicare enrollment records show Kimberly Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ivy Creek Of Tallapoosa LLC
0.1 mi
Rural Health
301 MARIARDEN RD
Dadeville, AL 36853
  • Reassigned Medicare billing, Alabama enrollment
  • 44 clinicians in this Medicare group
NPI 1932130002 (256) 825-7871

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36853 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$18.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$100.03 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 16

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

MICHAEL LANCE BEVELS CRNP
Nurse Practitioner (Family)
301 MARIARDEN RD
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7821
MS. DEBBIE S CLEVELAND CRNP
Nurse Practitioner (Family)
301 MARIARDEN RD
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7871
MR. ROBERT WILLIAM BARTEL MD
General Practice
301 MARIARDEN RD
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7164
IVY CREEK OF TALLAPOOSA LLC
Home Health
301 MARIARDEN RD, SUITE F
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7050
DR. TIMOTHY JAMES LITTMANN MD
Family Medicine
301 MARIARDEN RD
DADEVILLE, AL 36853
Tallapoosa County (568) 257-8712
CATHY PITTS
Nurse Practitioner (Family)
301 MARIARDEN RD, SUITE D
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7871
BARBARA WILDER CRNP
Nurse Practitioner
301 MARIARDEN RD
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7871
ROBERT L ENGLAND MD
Surgery
301 MARIARDEN RD
DADEVILLE, AL 36853
Tallapoosa County (256) 825-7871

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 Robertson's NPI number?

The NPI number for Kimberly Robertson is 1114929742. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Kimberly Robertson located?

Kimberly Robertson practices at 301 Mariarden Rd Suite D, Dadeville, AL 36853. The listed phone number is (256) 825-3280.

What is Kimberly Robertson's specialty?

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

Is Kimberly Robertson enrolled in Medicare?

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

Which organization bills Medicare for Kimberly Robertson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Robertson reassigns Medicare benefits to Ivy Creek Of Tallapoosa LLC (Dadeville, AL). 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 Robertson'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 Robertson was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.