MRS. KIMBERLY MICHELLE RAWLS APRN
NPI 1174001382
Nurse Practitioner - Family in Pine Bluff, AR

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment
3801 CAMDEN ROAD, SUITE 22, PINE BLUFF, AR 71603(870) 461-1517 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2025, Aug 17, 2018, Jul 31, 2018 (3 updates tracked since 2018).

About Mrs. Kimberly Michelle Rawls Aprn NPPES

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

MRS. KIMBERLY MICHELLE RAWLS APRN (NPI 1174001382) is an individual family provider in Pine Bluff, Arkansas, licensed in Arkansas (A005478) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2018).

NPPES Registry Identity

NPI1174001382
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY MICHELLE RAWLSCredential: APRN
Location Address3801 CAMDEN ROAD, SUITE 22Pine Bluff, AR 71603
Mailing Address1560 Pumpkin Hill RdRison, AR 71665-8727 · (870) 556-0561
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2018
Enumeration DateJuly 31, 2018
Last NPPES UpdateOctober 21, 20253 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1174001382 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 AR · A005478
3801 CAMDEN ROAD, Pine Bluff, AR 71603

Accepted 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

Mrs. Kimberly Michelle Rawls Aprn 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 ID5799037362
PECOS Enrollment IDI20260113001058
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims30 services$2.41 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers34 claims34 services$5.67 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 2

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

Nurse Practitioner (Family)
3801 CAMDEN ROAD, SUITE 22
PINE BLUFF, AR 71603
Dentist (General Practice)
3801 CAMDEN ROAD, SUITE 11
PINE BLUFF, AR 71603

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 Rawls's NPI number?

The NPI number for Kimberly Rawls is 1174001382. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Kimberly Rawls located?

Kimberly Rawls practices at 3801 Camden Road Suite 22, Pine Bluff, AR 71603. The listed phone number is (870) 461-1517.

What is Kimberly Rawls's specialty?

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

Is Kimberly Rawls enrolled in Medicare?

Yes. Kimberly Rawls 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.

What insurance does Kimberly Rawls accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Kimberly Rawls 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 Rawls was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.