MS. KIMBERLY ANN TALLEY APRN
NPI 1376277665
Nurse Practitioner - Family in Roseburg, OR
About Ms. Kimberly Ann Talley Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY ANN TALLEY APRN (NPI 1376277665) is an individual family provider in Roseburg, Oregon, licensed in Mississippi (905251) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kimberly Ann Talley Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Talley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bay Area Hospital
Acute Care Hospitals · Coos Bay, ORSouthern Coos Hospital & Health Center
Critical Access Hospitals · Bandon, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97471
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 Talley's NPI number?
The NPI number for Kimberly Talley is 1376277665. It was assigned to this individual provider in the NPPES registry on July 12, 2022.
Where is Kimberly Talley located?
Kimberly Talley practices at 2589 NW Edenbower Blvd, Roseburg, OR 97471. The listed phone number is (541) 529-9190.
What is Kimberly Talley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Talley enrolled in Medicare?
Yes. Kimberly Talley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Talley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Talley reassigns Medicare benefits to Waterfall Clinic, Incorporated (Coos Bay, OR). The 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 Talley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Talley accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Talley 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.
Is Kimberly Talley affiliated with any hospitals?
According to CMS data, Kimberly Talley is affiliated with Bay Area Hospital and Southern Coos Hospital & Health Center.
When was this NPI record last updated?
The NPPES record for Kimberly Talley was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Kimberly Ann Talley, APRN · NPI 1376277665
Family physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since July 12, 2022.
## Identity
- **NPI:** 1376277665 (Entity type: Individual)
- **Enumerated:** July 12, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905251 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2589 NW EDENBOWER BLVD, Roseburg, OR 97471-6224
- **Phone:** (541) 529-9190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Waterfall Clinic, Incorporated (NPI 1619673704, Coos Bay, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376277665) · Data from the CMS NPPES public registry.