KIMBERLY WILLETT RN, APRN
NPI 1467074344
Nurse Practitioner - Family in Silver Spring, MD
About Kimberly Willett Rn, Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WILLETT RN, APRN (NPI 1467074344) is an individual family provider in Silver Spring, Maryland, licensed in Maryland (R242949) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Willett Rn, 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Willett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Takoma Park, MD 20912
- Reassigned Medicare billing, District of Columbia enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
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 Willett's NPI number?
The NPI number for Kimberly Willett is 1467074344. It was assigned to this individual provider in the NPPES registry on May 13, 2020.
Where is Kimberly Willett located?
Kimberly Willett practices at 8630 Fenton St Ste 1200, Silver Spring, MD 20910. The listed phone number is (301) 585-1250.
What is Kimberly Willett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Willett enrolled in Medicare?
Yes. Kimberly Willett 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.
Which organization bills Medicare for Kimberly Willett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Willett reassigns Medicare benefits to Community Clinic, Inc. (Takoma Park, MD). The 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 Kimberly Willett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Willett was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kimberly Willett, RN, APRN · NPI 1467074344
Family physician in Silver Spring, Maryland. Individual provider, active in the CMS NPPES registry since May 13, 2020.
## Identity
- **NPI:** 1467074344 (Entity type: Individual)
- **Enumerated:** May 13, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R242949 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 8630 FENTON ST STE 1200, Silver Spring, MD 20910-3808
- **Phone:** (301) 585-1250 · **Fax:** (301) 585-6289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Clinic, Inc. (NPI 1790730281, Takoma Park, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467074344) · Data from the CMS NPPES public registry.