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KELTIN JIMMERSON CRNP
NPI 1730835190
Nurse Practitioner - Women's Health in Dothan, AL

Active since February 24, 2022PECOS EnrolledAccepts Medicare Assignment
104 MEDICAL DR # 104, DOTHAN, AL 36303(334) 671-9447(334) 836-0059 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keltin Jimmerson Crnp NPPES

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

KELTIN JIMMERSON CRNP (NPI 1730835190) is an individual women's health provider in Dothan, Alabama, licensed in Alabama (1-162676) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730835190
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKELTIN JIMMERSONCredential: CRNP
Location Address104 MEDICAL DR # 104Dothan, AL 36303-6902
Mailing Address595 Jones RdNewton, AL 36352-8072 · (334) 796-3206
Phone(334) 671-9447
Fax(334) 836-0059
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 24, 2022
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1730835190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in AL · 1-162676
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
104 MEDICAL DR # 104, Dothan, AL 36303
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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 Alabama, Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Keltin Jimmerson Crnp 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 ID8527432202
PECOS Enrollment IDI20230320002259
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

3

Medicare enrollment records show Keltin Jimmerson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology Of Dothan Inc
Same address
Obstetrics & Gynecology
104 MEDICAL DR
Dothan, AL 36303
  • Reassigned Medicare billing, Alabama enrollment
  • 24 clinicians in this Medicare group
NPI 1114021409 (334) 671-9445
Wiregrass Clinic LLC
1.4 mi
Neurological Surgery
4300 W MAIN ST, SUITE 21
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 100 clinicians in this Medicare group
NPI 1558657890 (334) 794-5000
Tallahassee Memorial Healthcare Inc
33 mi
Cardiovascular Disease
877 3RD ST STE 3
Chipley, FL 32428
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group
NPI 1679199236 (850) 216-0100

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 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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 Keltin Jimmerson's NPI number?

The NPI number for Keltin Jimmerson is 1730835190. It was assigned to this individual provider in the NPPES registry on February 24, 2022.

Where is Keltin Jimmerson located?

Keltin Jimmerson practices at 104 Medical Dr # 104, Dothan, AL 36303. The listed phone number is (334) 671-9447.

What is Keltin Jimmerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Keltin Jimmerson enrolled in Medicare?

Yes. Keltin Jimmerson 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 Keltin Jimmerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keltin Jimmerson reassigns Medicare benefits to 3 organizations: Obstetrics & Gynecology Of Dothan Inc (Dothan, AL), Wiregrass Clinic LLC (Dothan, AL) and Tallahassee Memorial Healthcare Inc (Chipley, FL). 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 Keltin Jimmerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keltin Jimmerson accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Keltin Jimmerson 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 Keltin Jimmerson was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.