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KAREN A KIMBALL
NPI 1487848438
Nurse Practitioner in Columbia, SC

Active since September 04, 2007PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
114 GATEWAY CORPORATE BLVD STE 220, COLUMBIA, SC 29203(803) 865-4928 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jul 2, 2024, Jul 29, 2022 (3 updates tracked since 2022).

About Karen A Kimball NPPES

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

KAREN A KIMBALL (NPI 1487848438) is an individual nurse practitioner in Columbia, South Carolina, licensed in South Carolina (30310) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487848438
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKAREN A KIMBALL
Location Address114 GATEWAY CORPORATE BLVD STE 220Columbia, SC 29203-9785
Mailing AddressPo Box 23321New York, NY 10087-3321 · (803) 865-4928
Phone(803) 865-4928
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 4, 2007
Last NPPES UpdateOctober 15, 20253 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
✔ NPI 1487848438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in SC · 30310✔ Licensed in PA · SP009522
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X · License RN293476L (PA)
114 GATEWAY CORPORATE BLVD STE 220, Columbia, SC 29203
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Secondary Practice Locations 3

Location 1301 S 7th Ave Ste 210West Reading, PA 19611-1450 · Phone (484) 628-4656
Location 2420 S 5th AveWest Reading, PA 19611-2143 · Phone (484) 628-5455
Location 3601 Spruce StWest Reading, PA 19611-1443 · Phone (610) 375-4567

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

Karen A Kimball 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 ID749377729
PECOS Enrollment IDI20071108000012, I20250930004409
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.

Areas of Expertise CMS Part B claims 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
129 services104 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
87 services34 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.
40 services37 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
19 services16 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Other Providers at the Same Location NPPES 2

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

DR. CALVIN J HU MD
Psychiatry & Neurology (Epilepsy)
114 GATEWAY CORPORATE BLVD STE 220
COLUMBIA, SC 29203
Richland County (803) 727-3972
RADDON LLC
Clinic/Center
114 GATEWAY CORPORATE BLVD STE 220
COLUMBIA, SC 29203
Richland County (770) 335-9797

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 Kimball's NPI number?

The NPI number for Karen Kimball is 1487848438. It was assigned to this individual provider in the NPPES registry on September 4, 2007.

Where is Karen Kimball located?

Karen Kimball practices at 114 Gateway Corporate Blvd Ste 220, Columbia, SC 29203. The listed phone number is (803) 865-4928.

What is Karen Kimball's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karen Kimball enrolled in Medicare?

Yes. Karen Kimball 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.

Is Karen Kimball affiliated with any hospitals?

According to CMS data, Karen Kimball is affiliated with Reading Hospital and Musc Health Columbia Medical Center Downtown.

When was this NPI record last updated?

The NPPES record for Karen Kimball was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.