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DAIZAH RAYE KIMBERLAND FNP-C
NPI 1871473876
Nurse Practitioner - Family in Bardstown, KY

Active since September 03, 2025PECOS Enrolled
141 PARKWAY DR, BARDSTOWN, KY 40004(502) 348-4757(502) 348-4755 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Sep 3, 2025 (2 updates tracked since 2025).

About Daizah Raye Kimberland Fnp-c NPPES

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

DAIZAH RAYE KIMBERLAND FNP-C (NPI 1871473876) is an individual family provider in Bardstown, Kentucky, licensed in Kentucky (4044398) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871473876
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAIZAH RAYE KIMBERLANDCredential: FNP-C
Location Address141 PARKWAY DRBardstown, KY 40004-3220
Mailing Address141 Parkway DrBardstown, KY 40004-3220 · (502) 348-4757 · Fax (502) 348-4755
Phone(502) 348-4757
Fax(502) 348-4755
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2025
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1871473876 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 KY · 4044398
141 PARKWAY DR, Bardstown, KY 40004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daizah Raye Kimberland Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183120397
PECOS Enrollment IDI20251006001167
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 40004 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 3

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

MRS. EMILY BROOKE SMITH APRN
Nurse Practitioner (Family)
141 PARKWAY DR
BARDSTOWN, KY 40004
Nelson County (502) 348-4757
BETH A MCCOY
Nurse Practitioner
141 PARKWAY DR
BARDSTOWN, KY 40004
Nelson County (502) 348-4757
MCCOY PRIMARY CARE LLC
Nurse Practitioner (Family)
141 PARKWAY DR
BARDSTOWN, KY 40004
Nelson County (502) 348-4757

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 Daizah Kimberland's NPI number?

The NPI number for Daizah Kimberland is 1871473876. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Daizah Kimberland located?

Daizah Kimberland practices at 141 Parkway Dr, Bardstown, KY 40004. The listed phone number is (502) 348-4757.

What is Daizah Kimberland's specialty?

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

Is Daizah Kimberland enrolled in Medicare?

Yes. Daizah Kimberland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Daizah Kimberland was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.