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OAK HAVEN PSYCHIATRY, LLC
NPI 1386309318
Nurse Practitioner - Psychiatric/Mental Health in Bowling Green, KY

Active since November 04, 2021
730 FAIRVIEW AVE STE A5, BOWLING GREEN, KY 42101(270) 935-5117(270) 935-5118 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 5, 2021, Nov 4, 2021 (2 updates tracked since 2021).

About Oak Haven Psychiatry, Llc NPPES

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

OAK HAVEN PSYCHIATRY, LLC (NPI 1386309318) is a healthcare organization registered as a psychiatric/mental health in Bowling Green, Kentucky and active in the NPI registry since November 2021. The organization lists Kimberly Zimmerman, Pmhnp-bc, Fnp-c, Owner, as its authorized official.

NPPES Registry Identity

NPI1386309318
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOAK HAVEN PSYCHIATRY, LLC
Location Address730 FAIRVIEW AVE STE A5Bowling Green, KY 42101-2383
Mailing AddressPo Box 50754Bowling Green, KY 42102-3954 · (270) 935-5117 · Fax (270) 935-5118
Phone(270) 935-5117
Fax(270) 935-5118
Organization SubpartNo
Authorized OfficialKimberly ZimmermanPmhnp-bc, Fnp-c, Owner · (270) 935-5117
Enumeration DateNovember 4, 2021
Last NPPES UpdateAugust 29, 20252 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1386309318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
730 FAIRVIEW AVE STE A5, Bowling Green, KY 42101
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Other Identifiers 1

Medicaid7100276330KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oak Haven Psychiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20220218000264Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Oak Haven Psychiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Zimmerman, DNP, PMHNP-BC, FNP-C
Nurse Practitioner
NPI 1902146020
730 FAIRVIEW AVE STE A5
Bowling Green, KY 42101
(270) 935-5117
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Oak Haven Psychiatry, LLC's NPI number?

The NPI number for Oak Haven Psychiatry, LLC is 1386309318. It was assigned to this organization in the NPPES registry on November 4, 2021.

Where is Oak Haven Psychiatry, LLC located?

Oak Haven Psychiatry, LLC is located at 730 Fairview Ave Ste A5, Bowling Green, KY 42101. The listed phone number is (270) 935-5117.

What is Oak Haven Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Oak Haven Psychiatry, LLC enrolled in Medicare?

Yes. Oak Haven Psychiatry, LLC is registered in the Medicare PECOS enrollment system.

When is Oak Haven Psychiatry, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Oak Haven Psychiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Oak Haven Psychiatry, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oak Haven Psychiatry, LLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.