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MS. KIMBERLY NICOLE THARP AGACNP
NPI 1255858833
Nurse Practitioner - Acute Care in Dearborn Heights, MI

Active since August 24, 2017PECOS Enrolled
5690 LINCOLN BLVD, DEARBORN HEIGHTS, MI 48125(248) 910-1694 Get Directions Write a Review

NPPES record last updated: January 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2019, Aug 24, 2017 (2 updates tracked since 2017).

About Ms. Kimberly Nicole Tharp Agacnp NPPES

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

MS. KIMBERLY NICOLE THARP AGACNP (NPI 1255858833) is an individual acute care provider in Dearborn Heights, Michigan, licensed in Michigan (4704253537) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255858833
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. KIMBERLY NICOLE THARPCredential: AGACNP
Location Address5690 LINCOLN BLVDDearborn Heights, MI 48125-2402
Mailing Address5690 Lincoln BlvdDearborn Heights, MI 48125-2402 · (248) 910-1694
Phone(248) 910-1694
Sole ProprietorNo
Enumeration DateAugust 24, 2017
Last NPPES UpdateJanuary 4, 20192 updates tracked since enumeration
✔ NPI 1255858833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704253537
5690 LINCOLN BLVD, Dearborn Heights, MI 48125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Nicole Tharp Agacnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48125 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Tharp's NPI number?

The NPI number for Kimberly Tharp is 1255858833. It was assigned to this individual provider in the NPPES registry on August 24, 2017.

Where is Kimberly Tharp located?

Kimberly Tharp practices at 5690 Lincoln Blvd, Dearborn Heights, MI 48125. The listed phone number is (248) 910-1694.

What is Kimberly Tharp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Tharp enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Tharp was last updated on January 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.