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MRS. KIMBERLY CHANNEL MCCLAIN FNP-C
NPI 1679828495
Nurse Practitioner - Primary Care in Goldsboro, NC

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2707 MEDICAL OFFICE PL OFC, GOLDSBORO, NC 27534(919) 587-3700(919) 580-4080 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Nov 21, 2017, Aug 30, 2016 (3 updates tracked since 2016).

About Mrs. Kimberly Channel Mcclain Fnp-c NPPES

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

MRS. KIMBERLY CHANNEL MCCLAIN FNP-C (NPI 1679828495) is an individual primary care provider in Goldsboro, North Carolina, licensed in North Carolina (5005725) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679828495
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. KIMBERLY CHANNEL MCCLAINCredential: FNP-C
Location Address2707 MEDICAL OFFICE PL OFCGoldsboro, NC 27534-9458
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Phone(919) 587-3700
Fax(919) 580-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 18, 2012
Last NPPES UpdateMay 11, 20213 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1679828495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NC · 5005725
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5005725 (NC)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5005725 (NC)
2707 MEDICAL OFFICE PL OFC, Goldsboro, NC 27534
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Mrs. Kimberly Channel Mcclain Fnp-c 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 ID1254588775
PECOS Enrollment IDI20120905000557
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 9

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.
419 services309 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
311 services269 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
38 services30 patients
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.
29 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Heart rhythm recording of continous external ekg over 8-15 days 93246
A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27534 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%66 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Mcclain's NPI number?

The NPI number for Kimberly Mcclain is 1679828495. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Kimberly Mcclain located?

Kimberly Mcclain practices at 2707 Medical Office Pl Ofc, Goldsboro, NC 27534. The listed phone number is (919) 587-3700.

What is Kimberly Mcclain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kimberly Mcclain enrolled in Medicare?

Yes. Kimberly Mcclain 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.

What insurance does Kimberly Mcclain accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kimberly Mcclain 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 Mcclain affiliated with any hospitals?

According to CMS data, Kimberly Mcclain is affiliated with Rex Hospital and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Kimberly Mcclain was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.