KIMBERLY BAGWELL FNP-C
NPI 1396192548
Nurse Practitioner - Family in Columbus, GA

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
1921 WHITTLESEY RD STE 100, COLUMBUS, GA 31904(706) 250-6026 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2024, May 18, 2016 (2 updates tracked since 2016).

About Kimberly Bagwell Fnp-c NPPES

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

KIMBERLY BAGWELL FNP-C (NPI 1396192548) is an individual family provider in Columbus, Georgia, licensed in Georgia (184587) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396192548
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY BAGWELLCredential: FNP-C
Location Address1921 WHITTLESEY RD STE 100Columbus, GA 31904-9209
Mailing Address1921 Whittlesey Rd Ste 100Columbus, GA 31904-9209 · (706) 250-6026
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
NPI 1396192548 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 GA · 184587
1921 WHITTLESEY RD STE 100, Columbus, GA 31904

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

Kimberly Bagwell Fnp-c 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 ID4082906938
PECOS Enrollment IDI20160713001083
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 31904 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims960 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers25 claims3,540 services$1.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bagwell's NPI number?

The NPI number for Kimberly Bagwell is 1396192548. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Kimberly Bagwell located?

Kimberly Bagwell practices at 1921 Whittlesey Rd Ste 100, Columbus, GA 31904. The listed phone number is (706) 250-6026.

What is Kimberly Bagwell's specialty?

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

Is Kimberly Bagwell enrolled in Medicare?

Yes. Kimberly Bagwell 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.

When was this NPI record last updated?

The NPPES record for Kimberly Bagwell was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.