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KAREN ELIZABETH GIMBLET FNP
NPI 1396997607
Nurse Practitioner - Primary Care in Hickory, NC

Active since October 17, 2008Opted out of Medicare · through Apr 1, 2028
915 TATE BLVD SE, SUITE170, HICKORY, NC 28602(828) 345-0800(828) 485-5579 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Elizabeth Gimblet Fnp NPPES

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

KAREN ELIZABETH GIMBLET FNP (NPI 1396997607) is an individual primary care provider in Hickory, North Carolina, licensed in North Carolina (200939) and active in the NPI registry since October 2008. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer, is affiliated with Frye Regional Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1997).

NPPES Registry Identity

NPI1396997607
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKAREN ELIZABETH GIMBLETCredential: FNP
Location Address915 TATE BLVD SE, SUITE170Hickory, NC 28602-4042
Mailing Address915 Tate Blvd Se, Suite170Hickory, NC 28602-4042 · (828) 345-0800 · Fax (828) 485-5579
Phone(828) 345-0800
Fax(828) 485-5579
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1997
Enumeration DateOctober 17, 2008
Last NPPES UpdateApril 2, 2019
✔ NPI 1396997607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 200939
Also ListedNurse PractitionerTaxonomy 363L00000X · License 200939 (NC)
915 TATE BLVD SE, Hickory, NC 28602
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karen Elizabeth Gimblet Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 15

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
180 services85 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
154 services83 patients
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.
138 services78 patients
Liver function blood test panel 80076
A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.
128 services82 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
125 services81 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.
87 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
92%347 patients5/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
87%366 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
43%86 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%6,324 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
25%418 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%88 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
92%666 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%666 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
72%666 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
71%666 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims32 services$5.48 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 20

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

LAUREN WHITLEY BCBA
Behavior Analyst
915 TATE BLVD SE
HICKORY, NC 28602
Catawba County (828) 608-3338
DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Internal Medicine (Pulmonary Disease)
915 TATE BLVD SE, STE 182
HICKORY, NC 28602
Catawba County (615) 920-7000
LYRICIST DIOR COTTON LCMHC
Counselor (Mental Health)
915 TATE BLVD SE
HICKORY, NC 28602
Catawba County (828) 345-0800
JENNIFER J STAUSS WHNP-BC
Nurse Practitioner (Women's Health)
915 TATE BLVD SE, STE 170
HICKORY, NC 28602
Catawba County (828) 345-0800
DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC
Surgery
915 TATE BLVD SE, STE 186
HICKORY, NC 28602
Catawba County (615) 920-7000
TERI J HERMAN RN-C, GONP
Nurse Practitioner (Obstetrics & Gynecology)
915 TATE BLVD SE, SUITE 170
HICKORY, NC 28602
Catawba County (828) 345-0800
DLP FRYE MEDICAL GROUP LLC
Psychologist
915 TATE BLVD SE, SUITE 186
HICKORY, NC 28602
Catawba County (828) 449-8563
MAI KHOU VANG PA-C
Family Medicine
915 TATE BLVD SE, SUITE 186
HICKORY, NC 28602
Catawba County (828) 449-8458

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 Karen Gimblet's NPI number?

The NPI number for Karen Gimblet is 1396997607. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Karen Gimblet located?

Karen Gimblet practices at 915 Tate Blvd SE Suite170, Hickory, NC 28602. The listed phone number is (828) 345-0800.

What is Karen Gimblet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Karen Gimblet enrolled in Medicare?

No. Karen Gimblet has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Karen Gimblet accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Karen Gimblet 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 Karen Gimblet affiliated with any hospitals?

According to CMS data, Karen Gimblet is affiliated with Frye Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Gimblet was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.