MS. KIMBERLY DIANE CANUPP AGACNP
NPI 1619552536
Nurse Practitioner - Acute Care in Gainesville, GA
About Ms. Kimberly Diane Canupp Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KIMBERLY DIANE CANUPP AGACNP (NPI 1619552536) is an individual acute care provider in Gainesville, Georgia, licensed in Georgia (APRN-RN268584) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Kimberly Diane Canupp Agacnp 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GAUnion General Hospital
Acute Care Hospitals · Blairsville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Canupp's NPI number?
The NPI number for Kimberly Canupp is 1619552536. It was assigned to this individual provider in the NPPES registry on March 11, 2021.
Where is Kimberly Canupp located?
Kimberly Canupp practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.
What is Kimberly Canupp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kimberly Canupp enrolled in Medicare?
Yes. Kimberly Canupp 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 Kimberly Canupp affiliated with any hospitals?
According to CMS data, Kimberly Canupp is affiliated with Northeast Georgia Medical Center, Inc and Union General Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Canupp was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.
# Ms. Kimberly Diane Canupp, AGACNP · NPI 1619552536
Acute Care physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since March 11, 2021.
## Identity
- **NPI:** 1619552536 (Entity type: Individual)
- **Enumerated:** March 11, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN-RN268584 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (770) 219-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 25, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1619552536) · Data from the CMS NPPES public registry.