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KIMBERLY NOELLE HANLEY APRN, NP-C
NPI 1801414628
Nurse Practitioner - Family in Lawton, OK

Active since July 08, 2020PECOS EnrolledAccepts Medicare Assignment
4411 W GORE BLVD STE A, LAWTON, OK 73505(580) 699-8383(580) 699-8381 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Noelle Hanley Aprn, Np-c NPPES

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

KIMBERLY NOELLE HANLEY APRN, NP-C (NPI 1801414628) is an individual family provider in Lawton, Oklahoma, licensed in Oklahoma (110373) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Comanche County Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801414628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY NOELLE HANLEYCredential: APRN, NP-C
Location Address4411 W GORE BLVD STE ALawton, OK 73505-6016
Mailing Address4411 W Gore Blvd Ste ALawton, OK 73505-6016 · (580) 699-8383 · Fax (580) 699-8381
Phone(580) 699-8383
Fax(580) 699-8381
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1801414628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 110373
4411 W GORE BLVD STE A, Lawton, OK 73505
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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 Oklahoma, Mending Health.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 Noelle Hanley Aprn, Np-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 ID446676746
PECOS Enrollment IDI20200818000687
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 Reassignment

Medicare enrollment records show Kimberly Hanley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Red River Medical Services LLC
Same address
Pain Medicine
4411 W GORE BLVD STE A2
Lawton, OK 73505
  • Reassigned Medicare billing, Oklahoma enrollment
  • 3 clinicians in this Medicare group
NPI 1558981472 (580) 730-0510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
55 services30 patients
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.
50 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Southwestern Medical Center

Acute Care Hospitals · Lawton, OK
3/5 CMS rating
OwnershipProprietary
CMS Certification Number370097
Location5602 Southwest Lee BoulevardLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 Kimberly Hanley's NPI number?

The NPI number for Kimberly Hanley is 1801414628. It was assigned to this individual provider in the NPPES registry on July 8, 2020.

Where is Kimberly Hanley located?

Kimberly Hanley practices at 4411 W Gore Blvd Ste A, Lawton, OK 73505. The listed phone number is (580) 699-8383.

What is Kimberly Hanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Hanley enrolled in Medicare?

Yes. Kimberly Hanley 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 organization bills Medicare for Kimberly Hanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Hanley reassigns Medicare benefits to Red River Medical Services LLC (Lawton, OK). The 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 Hanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Hanley accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Kimberly Hanley 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 Hanley affiliated with any hospitals?

According to CMS data, Kimberly Hanley is affiliated with Comanche County Memorial Hospital and Southwestern Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Hanley was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.