KIMBERLY L HERTLEIN ANP
NPI 1730296591
Nurse Practitioner in Paris, AR

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
303 S 5TH ST, PARIS, AR 72855(479) 963-2132(479) 963-2046 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly L Hertlein Anp NPPES

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

KIMBERLY L HERTLEIN ANP (NPI 1730296591) is an individual nurse practitioner in Paris, Arkansas, licensed in Arkansas (A01805) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1730296591
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY L HERTLEINCredential: ANP
Location Address303 S 5TH STParis, AR 72855-4501
Mailing AddressPo Box 3528Fort Smith, AR 72913-3528 · (479) 274-2000 · Fax (479) 274-2194
Fax(479) 963-2046
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 28, 2015
✔ NPI 1730296591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · A01805
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.
303 S 5TH ST, Paris, AR 72855

Other Identifiers 4

Medicare ID-Type Unspecified5Y080AR
Other080017768Rr Medicare
Medicare UPINQ30127
Medicaid157386758AR

Accepted 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

Kimberly L Hertlein Anp 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 ID1355307760
PECOS Enrollment IDI20041207001278
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

8

Medicare enrollment records show Kimberly Hertlein reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Care
500 E ACADEMY ST
Paris, AR 72855
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1760453633 (Arkansas)
  • 159 clinicians in this Medicare group
Rural Health
351 E PRIDDY ST
Magazine, AR 72943
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1992133714 (Arkansas)
  • 146 clinicians in this Medicare group
Emergency Care
801 W RIVER ST
Ozark, AR 72949
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1275504128 (Arkansas)
  • 147 clinicians in this Medicare group
Wound Care
825 HIGHWAY 71 N STE B
Alma, AR 72921
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 clinicians in this Medicare group
Psychiatry
10301 MAYO DR
Barling, AR 72923
  • Reassigned Medicare billing, Arkansas enrollment
  • 14 clinicians in this Medicare group
Rural Health
100 N WALNUT AVE STE A
Mansfield, AR 72944
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1912978875 (Arkansas)
  • 137 clinicians in this Medicare group
Orthopaedic Surgery
3501 WE KNIGHT DR
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1902073620 (Arkansas)
  • 114 clinicians in this Medicare group
Urgent Care
4962 ELM SPRINGS ROAD, SUITE 5
Springdale, AR 72762
  • Reassigned Medicare billing, Arkansas enrollment
  • 84 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72855 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers30 claims84 services$6.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers22 claims24 services$1.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$119.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims37 services$44.60 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers15 claims15 services$20.97 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers22 claims126 services$3.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
303 S 5TH ST
PARIS, AR 72855
Nurse Practitioner (Family)
303 S 5TH ST
PARIS, AR 72855
Nurse Practitioner (Family)
303 S 5TH ST
PARIS, AR 72855
Family Medicine
303 S 5TH ST
PARIS, AR 72855
Clinic/Center (Rural Health)
303 S 5TH ST
PARIS, AR 72855
Family Medicine
303 S 5TH ST
PARIS, AR 72855

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 Hertlein's NPI number?

The NPI number for Kimberly Hertlein is 1730296591. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Kimberly Hertlein located?

Kimberly Hertlein practices at 303 S 5th St, Paris, AR 72855. The listed phone number is (479) 963-2132.

What is Kimberly Hertlein's specialty?

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

Is Kimberly Hertlein enrolled in Medicare?

Yes. Kimberly Hertlein 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 Hertlein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hertlein reassigns Medicare benefits to 8 organizations: Mercy Hospital Paris (Paris, AR), Mercy Hospital Booneville (Magazine, AR), Mercy Hospital Ozark (Ozark, AR), Healing Wound Care LLC (Alma, AR), Valley Behavioral Health System, LLC (Barling, AR) and 3 more organizations, listed in the Medicare section above. 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 Hertlein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Hertlein accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kimberly Hertlein 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.

When was this NPI record last updated?

The NPPES record for Kimberly Hertlein was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.