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MS. KIMBERLY H SOWDEN ARNP
NPI 1376686105
Nurse Practitioner in Richmond, KY

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
2161 LEXINGTON RD, 1ST FLOOR SUITE 5, RICHMOND, KY 40475(859) 626-7794(859) 626-4420 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Kimberly H Sowden Arnp NPPES

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

MS. KIMBERLY H SOWDEN ARNP (NPI 1376686105) is an individual nurse practitioner in Richmond, Kentucky, licensed in Kentucky (3005140) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376686105
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KIMBERLY H SOWDENCredential: ARNP
Location Address2161 LEXINGTON RD, 1ST FLOOR SUITE 5Richmond, KY 40475-7952
Mailing Address2161 Lexington Rd, 1st Floor, Suite 5Richmond, KY 40475-7952 · (859) 626-7794 · Fax (859) 626-4420
Phone(859) 626-7794
Fax(859) 626-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 14, 2007
Last NPPES UpdateFebruary 1, 2016
✔ NPI 1376686105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3005140
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2161 LEXINGTON RD, Richmond, KY 40475
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Other Identifiers 7

Other1234437KY · Cha
Other000000517138KY · Blue Cross And Blue Shield
Medicare OSCAR/certification183935KY
Medicare PIN0929909KY
Medicaid35001775KY
Medicare PIN0914316KY
Medicaid710007430KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Ms. Kimberly H Sowden Arnp 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 ID5092815704
PECOS Enrollment IDI20070711000067
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.

Areas of Expertise CMS Part B claims 2

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
70 services25 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
39 services27 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$21.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$109.84 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

LAB ONE OF OHIO INC
Clinical Medical Laboratory
2161 LEXINGTON RD, SUITE 5
RICHMOND, KY 40475
Madison County (859) 626-7794
VAN WINKLE CHIROPRACTIC
Chiropractor
2161 LEXINGTON RD, SUITE 3
RICHMOND, KY 40475
Madison County (941) 650-9453
MS. CLARICE Y. DICKS P.A.- C.
Physician Assistant
2161 LEXINGTON RD, 1ST FLOOR, SUITE 5
RICHMOND, KY 40475
Madison County (859) 626-7794
DR. JERRY E. JONES M.D.
Family Medicine
2161 LEXINGTON RD
RICHMOND, KY 40475
Madison County (859) 626-7794
ROSE BOWLING, LLC
Clinic/Center (Rural Health)
2161 LEXINGTON RD
RICHMOND, KY 40475
Madison County (859) 626-7794

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 Sowden's NPI number?

The NPI number for Kimberly Sowden is 1376686105. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Kimberly Sowden located?

Kimberly Sowden practices at 2161 Lexington Rd 1st Floor Suite 5, Richmond, KY 40475. The listed phone number is (859) 626-7794.

What is Kimberly Sowden's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Sowden enrolled in Medicare?

Yes. Kimberly Sowden 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 Kimberly Sowden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Kimberly Sowden 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 Sowden affiliated with any hospitals?

According to CMS data, Kimberly Sowden is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Kimberly Sowden was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.