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KIMBERLY DUARTE NP-C
NPI 1205359650
Nurse Practitioner - Primary Care in Franklin, MA

Active since July 18, 2017PECOS Enrolled
9 SUMMER ST UNIT 302, FRANKLIN, MA 02038(508) 507-8818 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Duarte Np-c NPPES

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

KIMBERLY DUARTE NP-C (NPI 1205359650) is an individual primary care provider in Franklin, Massachusetts, licensed in Massachusetts (RN2307414) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205359650
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKIMBERLY DUARTECredential: NP-C
Location Address9 SUMMER ST UNIT 302Franklin, MA 02038-1493
Mailing Address47 Linden St Apt 10Allston, MA 02134-1759
Phone(508) 507-8818
Sole ProprietorNo
Enumeration DateJuly 18, 2017
✔ NPI 1205359650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MA · RN2307414
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2307414 (MA)
9 SUMMER ST UNIT 302, Franklin, MA 02038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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 Duarte Np-c 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

3

Medicare enrollment records show Kimberly Duarte reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Norfolk Center For Cancer Care & Hematology PC
18 mi
Hematology & Oncology
1073 PLEASANT STREET
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 5 clinicians in this Medicare group
NPI 1124193891 (508) 427-5599
Dana-Farber Cancer Institute, Inc.
23 mi
General Acute Care Hospital
450 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,026 clinicians in this Medicare group
NPI 1851333686 (617) 632-3000
Signify Health Medical Associates, PLLC
1,526 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Massachusetts enrollment
  • 203 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 02038 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%93 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES

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

MARLAINA ASVESTAS
Psychologist (Clinical)
9 SUMMER ST UNIT 302
FRANKLIN, MA 02038
Norfolk County (781) 713-0797

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 Duarte's NPI number?

The NPI number for Kimberly Duarte is 1205359650. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Kimberly Duarte located?

Kimberly Duarte practices at 9 Summer St Unit 302, Franklin, MA 02038. The listed phone number is (508) 507-8818.

What is Kimberly Duarte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kimberly Duarte enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Duarte reassigns Medicare benefits to 3 organizations: Norfolk Center For Cancer Care & Hematology PC (Brockton, MA), Dana-Farber Cancer Institute, Inc. (Boston, MA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Duarte accept?

Health plans from CareSource (Common Ground Healthcare) list Kimberly Duarte 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 Duarte was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.