KIMBERLY J HADDOCK FNP-C
NPI 1922831916
Nurse Practitioner - Family in Tarboro, NC
About Kimberly J Haddock Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY J HADDOCK FNP-C (NPI 1922831916) is an individual family provider in Tarboro, North Carolina, licensed in North Carolina (5020722) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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 J Haddock Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Haddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 1,653 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vidant Edgecombe Hospital
Acute Care Hospitals · Tarboro, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27886 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Haddock's NPI number?
The NPI number for Kimberly Haddock is 1922831916. It was assigned to this individual provider in the NPPES registry on August 23, 2024.
Where is Kimberly Haddock located?
Kimberly Haddock practices at 101 Clinic Dr, Tarboro, NC 27886. The listed phone number is (252) 824-5045.
What is Kimberly Haddock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Haddock enrolled in Medicare?
Yes. Kimberly Haddock 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 organization bills Medicare for Kimberly Haddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Haddock reassigns Medicare benefits to Vidant Medical Group LLC (Greenville, NC). The 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 Haddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Haddock accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Kimberly Haddock 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 Haddock affiliated with any hospitals?
According to CMS data, Kimberly Haddock is affiliated with Vidant Edgecombe Hospital.
When was this NPI record last updated?
The NPPES record for Kimberly Haddock was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Kimberly J Haddock, FNP-C · NPI 1922831916
Family physician in Tarboro, North Carolina. Individual provider, active in the CMS NPPES registry since August 23, 2024.
## Identity
- **NPI:** 1922831916 (Entity type: Individual)
- **Enumerated:** August 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5020722 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 CLINIC DR, Tarboro, NC 27886-1935
- **Phone:** (252) 824-5045
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Vidant Medical Group LLC (NPI 1477648731, Greenville, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922831916) · Data from the CMS NPPES public registry.