KIMBERLY RENE BUFFALO NURSE PRACTITIONER
NPI 1356829352
Nurse Practitioner - Family in Grove, OK

Active since August 01, 2018PECOS Enrolled
2104 S MAIN ST, GROVE, OK 74344(918) 964-7071(800) 872-8213 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2023, Aug 1, 2018 (2 updates tracked since 2018).

About Kimberly Rene Buffalo Nurse Practitioner NPPES

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

KIMBERLY RENE BUFFALO NURSE PRACTITIONER (NPI 1356829352) is an individual family provider in Grove, Oklahoma, licensed in Oklahoma (212781) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356829352
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY RENE BUFFALOCredential: NURSE PRACTITIONER
Location Address2104 S MAIN STGrove, OK 74344-5356
Mailing Address2104 S Main StGrove, OK 74344-5356 · (918) 964-7071 · Fax (800) 872-8213
Fax(800) 872-8213
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2018
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
NPI 1356829352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OK · 212781
Also ListedRegistered NurseTaxonomy 163W00000X · License R0080324 (OK)
2104 S MAIN ST, Grove, OK 74344

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 (PECOS)

Kimberly Rene Buffalo Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810072212
PECOS Enrollment IDI20230905003040
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 74344 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Clinic/Center (Primary Care)
2104 S MAIN ST
GROVE, OK 74344
Family Medicine
2104 S MAIN ST
GROVE, OK 74344

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 Buffalo's NPI number?

The NPI number for Kimberly Buffalo is 1356829352. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Kimberly Buffalo located?

Kimberly Buffalo practices at 2104 S Main St, Grove, OK 74344. The listed phone number is (918) 964-7071.

What is Kimberly Buffalo's specialty?

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

Is Kimberly Buffalo enrolled in Medicare?

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

What insurance does Kimberly Buffalo accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Kimberly Buffalo 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 Buffalo was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.