KIMBERLY J HADDOCK FNP-C
NPI 1922831916
Nurse Practitioner - Family in Tarboro, NC

Active since August 23, 2024PECOS EnrolledAccepts Medicare Assignment
101 CLINIC DR, TARBORO, NC 27886(252) 824-5045 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2024, Aug 23, 2024 (2 updates tracked since 2024).

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

NPI1922831916
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY J HADDOCKCredential: FNP-C
Location Address101 CLINIC DRTarboro, NC 27886-1935
Mailing Address2216 Harris Ridge RdWinterville, NC 28590-3409 · (252) 623-9010
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 23, 2024
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1922831916 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 NC · 5020722
101 CLINIC DR, Tarboro, NC 27886

Accepted Insurance

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 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.

PECOS PAC ID8325463235
PECOS Enrollment IDI20241104000514
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.

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.

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.
15 services13 patients

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, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Urology
101 CLINIC DR
TARBORO, NC 27886
Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Surgery
101 CLINIC DR
TARBORO, NC 27886
Nurse Practitioner
101 CLINIC DR
TARBORO, NC 27886
Physician Assistant (Surgical)
101 CLINIC DR
TARBORO, NC 27886
Pediatrics
101 CLINIC DR
TARBORO, NC 27886
Pharmacist
101 CLINIC DR
TARBORO, NC 27886

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.

What insurance does Kimberly Haddock accept?

Health plans from Blue Cross and Blue Shield of NC 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 with the weekly NPPES data releases published by CMS.