Individual provider Active NPI

Kristin Elena Klimbal, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1083099857
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.19918 RX Issued in SC
Practice address
391 Serpentine Dr
Suite 400
Spartanburg, SC 29303-3096
Phone
(864) 560-7517
Fax
(864) 560-7520
NPI assigned
Jul 22, 2015
Last updated
Apr 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.19918 RX SC Primary

Addresses

Primary practice location

391 Serpentine Dr
Suite 400
Spartanburg, SC 29303-3096

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170417002213 SC Practitioner - Nurse Practitioner 2062798523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

1 Havenwood LN
Travelers Rest, SC 29690-9680
Phone (864) 834-8013

391 Serpentine Dr
Suite 400
Spartanburg, SC 29303-3081
Phone (864) 560-7517

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.19918 RXSCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Feb 1, 2017 Accepting new patients
Chestnut Hill Mental Health Center, Inc Current Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Chestnut Hill Mental Health Center, Inc. CurrentSince Mar 3, 2018 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 1, 2017 Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

2755 S Highway 14
Ste 1200D
Greer, SC 29650
Phone (864) 849-9333

391 Serpentine Dr
Ste 400
Spartanburg, SC 29303
Phone (864) 560-7517

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1083099857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SERPENTINE DR",
            "address_2": "SUITE 400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033096",
            "telephone_number": "864-560-7517",
            "fax_number": "864-560-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMBAL",
        "first_name": "KRISTIN",
        "middle_name": "ELENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN.19918 RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.