KIMBERLY HENDERSON APRN
NPI 1407666142
Nurse Practitioner - Family in Somerset, KY

Q: What is Kimberly Henderson's NPI number?

The NPI number for Kimberly Henderson is 1407666142. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Q: What is Kimberly Henderson's specialty?

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

Active since January 13, 2025PECOS EnrolledAccepts Medicare Assignment

56 TOWER CIR, SOMERSET, KY 42503(606) 677-2913(606) 677-6983 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Henderson Aprn NPPES

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

KIMBERLY HENDERSON APRN (NPI 1407666142) is an individual family provider in Somerset, Kentucky, licensed in Kentucky (4023040) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407666142

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY HENDERSONCredential: APRN

Location Address56 TOWER CIRSomerset, KY 42503-3476

Mailing Address56 Tower CirSomerset, KY 42503-3476 · (606) 677-2913

Phone(606) 677-2913

Fax(606) 677-6983

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 13, 2025

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1407666142 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 KY · 4023040

56 TOWER CIR, Somerset, KY 42503

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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 Henderson Aprn 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 ID749702330

PECOS Enrollment IDI20250324003145

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.

Hospital Affiliations CMS Care Compare

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180132

Location305 Langdon StreetSomerset, KY 42503 · Pulaski County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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.

Other Providers at the Same Location NPPES 6

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

LAKE CUMBERLAND PHYSICIAN PRACTICES LLC

Internal Medicine (Gastroenterology)