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

Active since June 07, 2023PECOS EnrolledAccepts Medicare Assignment
1501 ALDERSGATE RD, LITTLE ROCK, AR 72205(501) 666-7526(501) 660-7876 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2024, Jun 7, 2023 (2 updates tracked since 2023).

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
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

Other Names 1

Former Name (1)Kimberly Grace Mirabal

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 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kimberly Anderson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
2223 GRANT ST
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • 98 clinicians in this Medicare group
Family Medicine
120 W RACE AVE STE 9
Searcy, AR 72143
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
Wound Care
120 W RACE AVE STE 9
Searcy, AR 72143
  • Reassigned Medicare billing, Arkansas enrollment
  • 7 clinicians in this Medicare group
Medical Specialty
2401 N COMMERCE ST STE A
Ardmore, OK 73401
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 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.

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.

Podiatrist
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Nurse Practitioner (Women's Health)
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Specialist
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Podiatrist
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Podiatrist
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Podiatrist
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Clinic/Center (Multi-Specialty)
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205
Nurse Practitioner
1501 ALDERSGATE RD
LITTLE ROCK, AR 72205

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 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.

Where is Kimberly Anderson located?

Kimberly Anderson practices at 1501 Aldersgate Rd, Little Rock, AR 72205. The listed phone number is (501) 666-7526.

What is Kimberly Anderson's specialty?

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

Is Kimberly Anderson enrolled in Medicare?

Yes. Kimberly Anderson 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 Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Anderson reassigns Medicare benefits to 4 organizations: Appello Health And Wellness Clinic, LLC (Malvern, AR), Elite Medical Group LLC (Searcy, AR), Wound Logix LLC (Searcy, AR) and Virtual Medical Solutions, LLC (Ardmore, OK). 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Anderson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kimberly Anderson 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 Kimberly Anderson was last updated on February 6, 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.