Kimberly Dawn Robertson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R869825 Issued in MS

Practice address

321 Hospital Dr
Columbus, MS 39705-1920

Phone

(662) 327-2921

Fax

(662) 328-6858

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Mississippi Medical College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Express Care of Cleveland, LLCGroup PAC ID 0547502387, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.18 of 100Reported as individual

Quality

90.66

Improvement activities

40

Cost

78

Merit-based Incentive Payment System (MIPS)

Final score

87.16 of 100Reported as group

Quality

79.21

Promoting interoperability

100

Improvement activities

40

Cost

77.99

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.robertson.1@17762.direct.athenahealth.com

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.

• Dutch Medical Clinics, Inc

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175

  MS

  Medicare reassignment Care Compare group NPD
• Express Care of Cleveland, LLC

  • Urgent Care Clinic/Center
  • Cleveland, MS
  • NPI 1780151381

  MS

  Medicare reassignment Care Compare group NPD
• GT Urology Group PLLC

  • Urology Physician
  • Columbus, MS
  • NPI 1093213951

  MS

  Medicare reassignment NPD
• Golden Triangle Urology PLLC

  • Urology Physician
  • Columbus, MS
  • NPI 1144460064
  NPD
• Joshua G. Griffin MD PLLC

  • Urology Physician
  • Columbus, MS
  • NPI 1568704542
  NPD
• Paul Wesley Barrett CFNP PLLC

  • Family Nurse Practitioner
  • Columbus, MS
  • NPI 1801142179

  Family

  NPD
• Urology Center of Columbus PLLC

  • Urology Physician
  • Columbus, MS
  • NPI 1205268745
  NPD

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1124427133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-327-2921",
            "fax_number": "662-328-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HOSPITAL DR",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051920",
            "telephone_number": "662-327-2921",
            "fax_number": "662-328-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R869825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08309829",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robertson Medical Clinic LLC
• Amy Ruth Robertson, FNP
• Cindy Luke Robertson, CFNP
• Elizabeth Brooks Matthews Robertson, PHARMD
• Faye Ann Robertson, FNP-C
• John Robinson Jr., DDS
• Michael Joseph Robinson, MD
• Nicole Robinson
• Earnestine Yvett Roby, MS
• Jose Abraham Rodriguez, MD

• Family Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.