KIMBERLEY SUE FAHLE
NPI 1356052161
Nurse Practitioner - Family in Tucson, AZ

Active since December 13, 2022PECOS EnrolledAccepts Medicare Assignment
2675 N WYATT DR, TUCSON, AZ 85712(937) 935-7461 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberley Sue Fahle NPPES

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

KIMBERLEY SUE FAHLE (NPI 1356052161) is an individual family provider in Tucson, Arizona, licensed in Arizona (279734) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356052161
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLEY SUE FAHLE
Location Address2675 N WYATT DRTucson, AZ 85712-6107
Mailing Address2675 N Wyatt DrTucson, AZ 85712-6107 · (937) 935-7461
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 13, 2022
NPPES CertifiedDecember 12, 2022
NPI 1356052161 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 AZ · 279734
2675 N WYATT DR, Tucson, AZ 85712

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

Kimberley Sue Fahle 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 ID7618323882
PECOS Enrollment IDI20231024002032
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 85712 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Alzheimer Center (Dementia Center)
2675 N WYATT DR
TUCSON, AZ 85712
Nurse Practitioner (Family)
2675 N WYATT DR
TUCSON, AZ 85712

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 Kimberley Fahle's NPI number?

The NPI number for Kimberley Fahle is 1356052161. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Where is Kimberley Fahle located?

Kimberley Fahle practices at 2675 N Wyatt Dr, Tucson, AZ 85712. The listed phone number is (937) 935-7461.

What is Kimberley Fahle's specialty?

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

Is Kimberley Fahle enrolled in Medicare?

Yes. Kimberley Fahle 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 Kimberley Fahle accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Kimberley Fahle 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 Kimberley Fahle was last updated on December 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.