KIMBERLY L HERTLEIN ANP NPI 1730296591

Nurse Practitioner in Paris, AR

NPI 1730296591 Individual Female Years of Experience 18 Nurse Practitioner PECOS Enrolled May Accept Medicare Approved Payment

About KIMBERLY HERTLEIN

Kimberly Hertlein is a provider established in Paris, Arkansas and her medical specialization is nurse practitioner with more than 18 years of experience. The NPI number of Kimberly Hertlein is 1730296591 and was assigned on August 2006. The practitioner's primary taxonomy code is 363L00000X with license number A01805 (AR). The provider is registered as an individual and her NPI record was last updated 6 years ago.

A nurse practitioner (NP) like Kimberly L Hertlein Anp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Kimberly Hertlein is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kimberly Hertlein is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services. According to Medicare claims data she has hospital affiliations with North Logan Mercy Hospital and Mercy Hospital Fort Smith.

NPI

1730296591

Provider Name KIMBERLY L HERTLEIN ANP
Provider Location Address303 S 5TH ST PARIS, AR 72855
Provider Mailing AddressPO BOX 3528 FORT SMITH, AR 72913
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-25-2006
Last Update Date08-28-2015


Primary Taxonomy

Taxonomy Code363L00000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.A01805
License StateAR
Taxonomy Description(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.

Business Address

KIMBERLY L HERTLEIN ANP
303 S 5TH ST
PARIS, AR
ZIP 72855
Phone: (479) 963-2132
Fax: (479) 963-2046

Get Directions


Mailing Address

KIMBERLY L HERTLEIN ANP
PO BOX 3528
FORT SMITH, AR
ZIP 72913
Phone: (479) 274-2000
Fax: (479) 274-2194



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID1355307760
PECOS Enrollment IDI20041207001278
Accepts Medicare Assignment? Maybe "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kimberly Hertlein is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORTH LOGAN MERCY HOSPITAL500 EAST ACADEMY
PARIS, AR 72855
(479) 963-6101Critical Access Hospitals41300
MERCY HOSPITAL FORT SMITH7301 ROGERS AVE
FORT SMITH, AR 72903
(479) 314-6000Acute Care Hospitals40062

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
5Y080MEDICARE ID-TYPE UNSPECIFIED (04)AR
080017768OTHER (01)
Q30127MEDICARE UPIN (02)
157386758MEDICAID (05)AR

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184650616DR. DOUGLAS A BUCKLEY MD
Individual
Family Medicine303 S 5TH ST
PARIS, AR 72855
(479) 452-2077
1144255571DR. WAYNE P ENNS MD
Individual
Family Medicine303 S 5TH ST
PARIS, AR 72855
(479) 963-2132
1790706497COOPER CLINIC, PA
Organization
Family Medicine303 S 5TH ST
PARIS, AR 72855
(479) 963-2132
1891908166COOPER CLINIC P A
Organization
Family Medicine303 S 5TH ST
PARIS, AR 72855
(479) 963-2132
1649737719 NETLLA ANNE CURETON APRN, FNP-C
Individual
Nurse Practitioner (Family)303 S 5TH ST
PARIS, AR 72855
(479) 963-2132
1881106243MERCY HOSPITAL PARIS
Organization
Clinic/Center (Rural Health)303 S 5TH ST
PARIS, AR 72855
(479) 963-2132

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.