KIMBERLY DOOLIN RN, BSN, PMHNP-BC
NPI 1982171625
Nurse Practitioner - Psychiatric/Mental Health in Bolivar, MO
About Kimberly Doolin Rn, Bsn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY DOOLIN RN, BSN, PMHNP-BC (NPI 1982171625) is an individual psychiatric/mental health provider in Bolivar, Missouri, licensed in Missouri (2019002365) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
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 Doolin Rn, Bsn, Pmhnp-bc 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 Doolin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 249 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 65613 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 Doolin's NPI number?
The NPI number for Kimberly Doolin is 1982171625. It was assigned to this individual provider in the NPPES registry on October 31, 2018.
Where is Kimberly Doolin located?
Kimberly Doolin practices at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 328-6305.
What is Kimberly Doolin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Doolin enrolled in Medicare?
Yes. Kimberly Doolin 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 Doolin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Doolin reassigns Medicare benefits to Citizens Memorial Healthcare (Bolivar, MO). 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 Doolin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Doolin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Kimberly Doolin 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 Doolin was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kimberly Doolin, RN, BSN, PMHNP-BC · NPI 1982171625
Psychiatric/Mental Health physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since October 31, 2018.
## Identity
- **NPI:** 1982171625 (Entity type: Individual)
- **Enumerated:** October 31, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2019002365 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N OAKLAND AVE, Bolivar, MO 65613-3011
- **Phone:** (417) 328-6305
## 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:** Citizens Memorial Healthcare (NPI 1568566131, Bolivar, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 12, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1982171625) · Data from the CMS NPPES public registry.