KIMBERLY GRACE ANDERSON - NPI 1851085203 - Nurse Practitioner in Little Rock, AR

Q: What is Kimberly Anderson's NPI number?

The NPI number for Kimberly Anderson is 1851085203. It was assigned to this individual provider in the NPPES registry on June 7, 2023. The provider is also known as Kimberly Grace Mirabal.

Q: What is Kimberly Anderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Anderson was last updated on February 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kimberly Grace Anderson NPPES

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

KIMBERLY GRACE ANDERSON (NPI 1851085203) is an individual family provider in Little Rock, Arkansas, licensed in Arkansas (123169) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851085203

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY GRACE ANDERSON

Location Address1501 ALDERSGATE RDLittle Rock, AR 72205-6611

Mailing Address1325 Bluebird LnDes Arc, AR 72040-3496 · (501) 388-2150

Phone(501) 666-7526

Fax(501) 660-7876

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 7, 2023

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1851085203 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 AR · 123169

1501 ALDERSGATE RD, Little Rock, AR 72205

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Other Names 1

Former Name (1)Kimberly Grace Mirabal

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Grace Anderson 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 ID6204364581

PECOS Enrollment IDI20250114003530

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 72205 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 8

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

DR. RICHARD A BRONFMAN DPM

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