KIMBERLY ANN CRAIN
NPI 1871255174
Nurse Practitioner - Family in Lawrenceburg, TN

Active since October 13, 2021PECOS EnrolledAccepts Medicare Assignment
2380 BUFFALO RD, LAWRENCEBURG, TN 38464(931) 762-6548 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2025, Oct 13, 2021 (2 updates tracked since 2021).

About Kimberly Ann Crain NPPES

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

KIMBERLY ANN CRAIN (NPI 1871255174) is an individual family provider in Lawrenceburg, Tennessee, licensed in Tennessee (30640) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871255174
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY ANN CRAIN
Location Address2380 BUFFALO RDLawrenceburg, TN 38464-4809
Mailing Address2717 E Oakland AveJohnson City, TN 37601-1843 · (423) 926-2358
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 13, 2021
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1871255174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 30640
Also ListedFamily MedicineTaxonomy 207Q00000X · License 0000161406 (TN)
2380 BUFFALO RD, Lawrenceburg, TN 38464

Secondary Practice Locations 2

Location 1482 Rabbit Trail RdLeoma, TN 38468-5652 · Phone (931) 629-1963
Location 2129 N Locust AveLawrenceburg, TN 38464-3757 · Phone (931) 762-7232 · Fax (931) 762-7234

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ann Crain 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 ID1557737558
PECOS Enrollment IDI20221017000942
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

6

Medicare enrollment records show Kimberly Crain reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
718 N MILITARY AVE
Lawrenceburg, TN 38464
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
Family Medicine
1605 NASHVILLE HWY, STE. 200
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • 25 clinicians in this Medicare group
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
Family Medicine
342 COX BLVD
Sheffield, AL 35660
  • Reassigned Medicare billing, Alabama enrollment
  • 94 clinicians in this Medicare group
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 clinicians in this Medicare group
Internal Medicine
3209 BRISTOL HWY
Johnson City, TN 37601
  • Reassigned Medicare billing, Tennessee enrollment
  • 73 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.

Areas of Expertise CMS Part B claims 11

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.

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.
222 services71 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
122 services20 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
84 services15 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.
73 services48 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
65 services24 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38464 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 16

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

Occupational Therapist
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Occupational Therapist
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Occupational Therapy Assistant
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Occupational Therapy Assistant
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Physical Therapist
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Physical Therapist (Geriatrics)
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Clinic/Center (Rehabilitation)
2380 BUFFALO RD
LAWRENCEBURG, TN 38464
Occupational Therapist
2380 BUFFALO RD
LAWRENCEBURG, TN 38464

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 Crain's NPI number?

The NPI number for Kimberly Crain is 1871255174. It was assigned to this individual provider in the NPPES registry on October 13, 2021.

Where is Kimberly Crain located?

Kimberly Crain practices at 2380 Buffalo Rd, Lawrenceburg, TN 38464. The listed phone number is (931) 762-6548.

What is Kimberly Crain's specialty?

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

Is Kimberly Crain enrolled in Medicare?

Yes. Kimberly Crain 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 Crain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Crain reassigns Medicare benefits to 6 organizations: Aligned Medical Center LLC (Lawrenceburg, TN), Northside Medical Professionals, P.C. (Columbia, TN), Fast Pace Medical Clinic PLLC (Spring Hill, TN), Shoals Primary Care, LLC (Sheffield, AL), Integrated Health Transitions, PLLC (Johnson City, TN) and 1 more organization, listed in the Medicare section above. 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 Crain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Crain accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Kimberly Crain 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 Crain affiliated with any hospitals?

According to CMS data, Kimberly Crain is affiliated with Maury Regional Hospital and Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Kimberly Crain was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.