MS. KIMBERLY ANNETTE SPIVEY FPMHNP
NPI 1396920419
Nurse Practitioner - Psychiatric/Mental Health in Sparta, TN

Q: What is Kimberly Spivey's NPI number?

The NPI number for Kimberly Spivey is 1396920419. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Q: What is Kimberly Spivey's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Spivey was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 08, 2008PECOS EnrolledAccepts Medicare Assignment

3380 WALNUT GROVE RD, SPARTA, TN 38583(931) 345-3968(931) 208-3484 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ms. Kimberly Annette Spivey Fpmhnp NPPES

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

MS. KIMBERLY ANNETTE SPIVEY FPMHNP (NPI 1396920419) is an individual psychiatric/mental health provider in Sparta, Tennessee, licensed in Tennessee (APN13410) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2007).

NPPES Registry Identity

NPI1396920419

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. KIMBERLY ANNETTE SPIVEYCredential: FPMHNP

Location Address3380 WALNUT GROVE RDSparta, TN 38583-5365

Mailing Address105 Cherry AveCookeville, TN 38501 · (931) 528-5811 · Fax (931) 526-1497

Phone(931) 345-3968

Fax(931) 208-3484

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2007

Enumeration DateJanuary 8, 2008

Last NPPES UpdateJune 9, 2026

NPPES CertifiedJune 9, 2026

✔ NPI 1396920419 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

License✔ Licensed in TN · APN13410

3380 WALNUT GROVE RD, Sparta, TN 38583

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kimberly Annette Spivey Fpmhnp 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 ID2769385624

PECOS Enrollment IDI20080828000267

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.

Medicare Billing Reassignments

Medicare enrollment records show Kimberly Spivey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Life Reimagined LLC

Same address

Psychiatric/Mental Health

3380 WALNUT GROVE RD
Sparta, TN 38583

Reassigned Medicare billing, Tennessee enrollment

NPI 1558141606 (931) 345-3968

Associates In Neurology, Plc

7.7 mi

Specialist

105 CHERRY AVE
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
4 clinicians in this Medicare group

NPI 1407864242 (931) 528-5811

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

59 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38583 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 12

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

DIANA DOCKERY

Counselor (Mental Health)