MRS. KIMBERLY MARIE KINKADE APRN, FNP-C
NPI 1760617005
Nurse Practitioner - Primary Care in Charleston, SC

Q: What is Kimberly Kinkade's NPI number?

The NPI number for Kimberly Kinkade is 1760617005. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Q: What is Kimberly Kinkade's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Kinkade was last updated on February 9, 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.

Active since May 15, 2009PECOS Enrolled

2067 CHARLIE HALL BLVD, CHARLESTON, SC 29414(843) 573-2535(843) 573-2534 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2025, Dec 7, 2021 (2 updates tracked since 2021).

On this page

About Mrs. Kimberly Marie Kinkade Aprn, Fnp-c NPPES

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

MRS. KIMBERLY MARIE KINKADE APRN, FNP-C (NPI 1760617005) is an individual primary care provider in Charleston, South Carolina, licensed in South Carolina (25520) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1760617005

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMRS. KIMBERLY MARIE KINKADECredential: APRN, FNP-C

Location Address2067 CHARLIE HALL BLVDCharleston, SC 29414-5834

Mailing AddressPo Box 602108Charlotte, NC 28260-2108 · (843) 573-2535 · Fax (843) 573-2534

Phone(843) 573-2535

Fax(843) 573-2534

Sole ProprietorNo

Enumeration DateMay 15, 2009

Last NPPES UpdateFebruary 9, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2025

✔ NPI 1760617005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in SC · 25520

2067 CHARLIE HALL BLVD, Charleston, SC 29414

Open in Google Maps ↗

Secondary Practice Locations 6

Location 12015 2nd Ave Ste 103Summerville, SC 29486-7889 · Phone (843) 737-9494

Location 28316 Traford LnSpringfield, VA 22152-1654 · Phone (703) 569-8400 · Fax (703) 569-1182

Location 32015 2nd Ave Ste 101Summerville, SC 29486-7889 · Phone (843) 737-9465 · Fax (843) 737-9466

Location 41952 Long Grove Dr Ste 202Mount Pleasant, SC 29464-7579 · Phone (843) 971-2992 · Fax (843) 971-2998

Location 5776 Daniel Ellis Dr Ste ACharleston, SC 29412-3094 · Phone (843) 795-8100 · Fax (843) 722-3010

Location 61300 Hospital Dr Ste 320Mount Pleasant, SC 29464-3217 · Phone (843) 737-9494

Other Identifiers 3

MedicaidNP7962SC

Other175150023Medicare

Medicaid1760617005IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Marie Kinkade Aprn, Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 13

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

CAROLINA FAMILY CARE, INC

Pediatrics