KIMBERLY MICHELLE CRAIN APRN,FNP-C,PMHNP-BC
NPI 1669726659
Nurse Practitioner - Psychiatric/Mental Health in Norfolk, VA

Active since October 30, 2012PECOS Enrolled
94.07/100
CMS Quality Rating
1500 E LITTLE CREEK RD STE 205, NORFOLK, VA 23518(757) 587-4744 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2023, Aug 12, 2022, May 7, 2022 and 6 more (9 updates tracked since 2015).

About Kimberly Michelle Crain Aprn,fnp-c,pmhnp-bc NPPES

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

KIMBERLY MICHELLE CRAIN APRN,FNP-C,PMHNP-BC (NPI 1669726659) is an individual psychiatric/mental health provider in Norfolk, Virginia, licensed in Virginia (0024170600) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669726659
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY MICHELLE CRAINCredential: APRN,FNP-C,PMHNP-BC
Location Address1500 E LITTLE CREEK RD STE 205Norfolk, VA 23518-4137
Mailing Address304 Paperbark TrlChesapeake, VA 23323-5611 · (757) 615-2561
Sole ProprietorYes
Enumeration DateOctober 30, 2012
Last NPPES UpdateFebruary 13, 20249 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1669726659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024170600
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024170600 (VA)
1500 E LITTLE CREEK RD STE 205, Norfolk, VA 23518

Other Identifiers 8

Medicaid1669726659NC
Other1669726659VA · Usa Managed Care
Other1669726659VA · Corvel
Medicaid1669726659VA
Other1669726659VA · Optima Health
Other1669726659VA · Virginia Premier Health Plan
Other1669726659VA · Tricare/champus
Other1669726659VA · Multiplan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Michelle Crain Aprn,fnp-c,pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Kimberly Crain reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
1500 E LITTLE CREEK RD, SUITE 205
Norfolk, VA 23518
  • Reassigned Medicare billing, Virginia enrollment
  • 16 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
9581 SHORE DR
Norfolk, VA 23518
  • Reassigned Medicare billing, Virginia enrollment
  • 25 clinicians in this Medicare group
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Virginia enrollment
  • 302 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
3704 OLD FOREST RD
Lynchburg, VA 24501
  • Reassigned Medicare billing, Virginia enrollment
  • 61 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.

Areas of Expertise CMS Part B claims 2

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.
27 services15 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.
19 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23518 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

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.

Social Worker (Clinical)
1500 E LITTLE CREEK RD STE 205
NORFOLK, VA 23518
Counselor (Mental Health)
1500 E LITTLE CREEK RD STE 205
NORFOLK, VA 23518
Psychiatry & Neurology (Psychiatry)
1500 E LITTLE CREEK RD STE 205, HAMPTON ROADS BEHAVIORAL HEALTH
NORFOLK, VA 23518
Psychologist (Clinical)
1500 E LITTLE CREEK RD STE 205
NORFOLK, VA 23518
Nurse Practitioner (Psychiatric/Mental Health)
1500 E LITTLE CREEK RD STE 205
NORFOLK, VA 23518

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 Crain's NPI number?

The NPI number for Kimberly Crain is 1669726659. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Kimberly Crain located?

Kimberly Crain practices at 1500 E Little Creek Rd Ste 205, Norfolk, VA 23518. The listed phone number is (757) 587-4744.

What is Kimberly Crain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Crain enrolled in Medicare?

Yes. Kimberly Crain is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Crain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Crain reassigns Medicare benefits to 4 organizations: Hampton Roads Behavioral Health,pc (Norfolk, VA), Portsmouth Community Health Center Inc (Norfolk, VA), Thrive Counseling LLC (Lynchburg, VA) and Brightview LLC (Lynchburg, VA). 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 Crain'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 Crain was last updated on February 13, 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.