Individual provider Active NPI

Kimberly Clements, ANP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1104266683
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
900138 Issued in NC
Practice address
8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872
Phone
(704) 977-6530
Fax
(704) 997-6529
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 900138 NC Primary
Adult Health Clinical Nurse Specialist 364SA2200X 900138 NC

Addresses

Primary practice location

8712 Lindholm Dr Ste 302
Huntersville, NC 28078-1872

Mailing address

8712 Lindholm Dr Ste 302
Suite a
Huntersville, NC 28078-1872
Phone (704) 977-6530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160419000279 NC Practitioner - Nurse Practitioner 9032417498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacs, PCGroup PAC ID 6002121530, 10 clinicians
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

10021 Park Cedar Dr
Suite 200
Charlotte, NC 28210-8701
Phone (704) 438-9383

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900138NCMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacs, PC CurrentSince Mar 1, 2016 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Nov 10, 2025 Accepting new patients
Physicians Eldercare PA CurrentSince Nov 10, 2025 Accepting new patients

Locations

10021 Park Cedar Dr
Charlotte, NC 28210

10021 Park Cedar Dr
Ste 200
Charlotte, NC 28210
Phone (704) 438-9383

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

8712 Lindholm Dr
Ste 302
Huntersville, NC 28078
Phone (704) 997-6530

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1104266683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR STE 302",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781872",
            "telephone_number": "704-977-6530",
            "fax_number": "704-997-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 LINDHOLM DR STE 302",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280781872",
            "telephone_number": "704-977-6530",
            "fax_number": "704-997-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "KIMBERLY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900138",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NC",
            "license": "900138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.