Kymberly D Anderson, NP – Family Nurse Practitioner

Key facts

NPI: 1093180481
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: RN149756 (GA)
Practice address: 204 E 15TH St
Alma, GA 31510-2908
Phone: (912) 632-2952
NPI assigned: Dec 10, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

Satilla Rheumatology and Internal Medicine, PC Specialist · Waycross, GA · NPI 1871823302

Medicare reassignment Care Compare group GA

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Hospital Authority of Jeff Davis County Georgia Critical Access Hospital · Hazlehurst, GA · NPI 1912902263

Care Compare affiliation Hospital
The Baxley and Appling County Hospital Authority General Acute Care Hospital · Baxley, GA · NPI 1861615304

Care Compare affiliation Hospital
Vidalia Health Services, LLC General Acute Care Hospital · Vidalia, GA · NPI 1790376564

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2015
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Satilla Rheumatology and Internal Medicine, PC (7 clinicians)

Practice addresses (Care Compare)

615 Pendleton St
Suite a
Leesville, GA 71446-4724
Phone (865) 531-0176

Hospital & facility affiliations

Memorial Health Meadows Hospital Hospital · Vidalia, GA · CCN 110128
Appling Healthcare Hospital · Baxley, GA · CCN 110071
Jeff Davis Hospital Hospital · Hazlehurst, GA · CCN 111333

Merit-based Incentive Payment System (MIPS)

Final score: 89.64 of 100 (group)
Quality: 92.57
Improvement activities: 40
Cost: 75.37

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20151217001097	GA	Practitioner - Nurse Practitioner	9830490770	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Science - Nursing, Nurse Practitioner

Interoperability endpoints

Direct secure messaging: kymberly.anderson.p1@direct.satillarheum.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	RN149756	GA	Yes

Addresses

Primary practice location

204 E 15TH St
Alma, GA 31510-2908

Mailing address

204 E 15TH St
Alma, GA 31510-2908
Phone (912) 632-2952

Other identifiers

Identifier	Type	State	Issuer
202I509677	Other	GA	MEDICARE PTAN
003174390A	Medicaid	GA

Other providers in Alma, GA

All providers in Alma, GA · Family Nurse Practitioner in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.