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MS. KIMBERLY NICOLE DALE APRN
NPI 1609185628
Nurse Practitioner - Family in Louisville, KY

Active since September 27, 2010PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
3920 DUTCHMANS LN STE 315, LOUISVILLE, KY 40207(502) 749-7909 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Sep 17, 2020 (2 updates tracked since 2020).

About Ms. Kimberly Nicole Dale Aprn NPPES

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

MS. KIMBERLY NICOLE DALE APRN (NPI 1609185628) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3006840) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609185628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. KIMBERLY NICOLE DALECredential: APRN
Location Address3920 DUTCHMANS LN STE 315Louisville, KY 40207-4702
Mailing AddressPo Box 909Louisville, KY 40201-0909
Phone(502) 749-7909
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 27, 2010
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1609185628 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 · 3006840
3920 DUTCHMANS LN STE 315, Louisville, KY 40207
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 Nicole Dale 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 ID1951586601
PECOS Enrollment IDI20110425000278
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

2

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

University Of Louisville Phyisicians, Inc.
Same address
Sleep Medicine
3920 DUTCHMANS LN
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 2,337 clinicians in this Medicare group
NPI 1679222632 (502) 259-6610
Kiosk Medicine Kentucky LLC
1.1 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555

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 4

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.
138 services82 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.
85 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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.

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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 5

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

SARAH SLOAN GOLDBERG
Internal Medicine
3920 DUTCHMANS LN STE 315
LOUISVILLE, KY 40207
Jefferson County (502) 896-4246
MARY E CASEY
Internal Medicine
3920 DUTCHMANS LN STE 315
LOUISVILLE, KY 40207
Jefferson County (502) 896-4246
DESIREE LATORI WATKINS APRN
Nurse Practitioner (Family)
3920 DUTCHMANS LN STE 315
LOUISVILLE, KY 40207
Jefferson County (502) 367-4500
KAYLYN MACKENZIE MARTIN APRN
Nurse Practitioner (Family)
3920 DUTCHMANS LN STE 315
LOUISVILLE, KY 40207
Jefferson County (502) 896-4246
WAYNE TUCKSON MD
Colon & Rectal Surgery
3920 DUTCHMANS LN STE 315
LOUISVILLE, KY 40207
Jefferson County (502) 583-8005

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 Dale's NPI number?

The NPI number for Kimberly Dale is 1609185628. It was assigned to this individual provider in the NPPES registry on September 27, 2010.

Where is Kimberly Dale located?

Kimberly Dale practices at 3920 Dutchmans Ln Ste 315, Louisville, KY 40207. The listed phone number is (502) 749-7909.

What is Kimberly Dale's specialty?

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

Is Kimberly Dale enrolled in Medicare?

Yes. Kimberly Dale 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 organizations bill Medicare for Kimberly Dale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Dale reassigns Medicare benefits to 2 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY) and Kiosk Medicine Kentucky LLC (Louisville, KY). Each 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 Dale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Dale accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Kimberly Dale 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 Kimberly Dale affiliated with any hospitals?

According to CMS data, Kimberly Dale is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Kimberly Dale was last updated on July 10, 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.