KIMBERLY NICOLE ALEXANDER RN
NPI 1821847294
Registered Nurse in Fayetteville, AR

Active since May 16, 2024Accepts Medicare Assignment
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703(479) 463-1000 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Nicole Alexander Rn NPPES

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

KIMBERLY NICOLE ALEXANDER RN (NPI 1821847294) is an individual registered nurse in Fayetteville, Arkansas, licensed in Arkansas (223368) and active in the NPI registry since May 2024. She is affiliated with Providence St Vincent Medical Center and is a graduate of University Of Arkansas College Of Medicine (2024).

NPPES Registry Identity

NPI1821847294
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameKIMBERLY NICOLE ALEXANDERCredential: RN
Location Address3215 N NORTHHILLS BLVDFayetteville, AR 72703-4424
Mailing Address2811 N University AveLittle Rock, AR 72207-2739 · (479) 353-7588
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2024
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
✔ NPI 1821847294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in AR · 223368
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
3215 N NORTHHILLS BLVD, Fayetteville, AR 72703

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 Nicole Alexander Rn 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 ID6204360944
PECOS Enrollment IDI20241118000485, I20260611001697

Medicare Billing Reassignments

3

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

Anesthesiology
3215 N NORTHHILLS BLVD
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 185 clinicians in this Medicare group
Anesthesiology
7301 ROGERS AVE
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 168 clinicians in this Medicare group
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 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.

Hospital Affiliations CMS Care Compare

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Hospitalist
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Radiology (Diagnostic Radiology)
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Nurse Anesthetist, Certified Registered
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Surgery (Trauma Surgery)
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Nurse Practitioner
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Emergency Medicine
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703
Registered Nurse
3215 N NORTHHILLS BLVD
FAYETTEVILLE, AR 72703

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 Alexander's NPI number?

The NPI number for Kimberly Alexander is 1821847294. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Kimberly Alexander located?

Kimberly Alexander practices at 3215 N Northhills Blvd, Fayetteville, AR 72703. The listed phone number is (479) 463-1000.

What is Kimberly Alexander's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Kimberly Alexander enrolled in Medicare?

Yes. Kimberly Alexander 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 Alexander's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Alexander reassigns Medicare benefits to 3 organizations: Premier Anesthesia Of Arkansas Professional Corporation (Fayetteville, AR), Renew Medical Group Of Arkansas Ltd (Fort Smith, AR) and Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR). 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 Alexander's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Alexander accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Moda Health Plan, Inc. and Octave list Kimberly Alexander 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 Alexander affiliated with any hospitals?

According to CMS data, Kimberly Alexander is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Alexander was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.