Amanda Denise Kimbler, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007992 Issued in KY

Practice address

318 S 7TH St
Mayfield, KY 42066-2337

Phone

(270) 251-3223

Fax

(270) 251-3220

NPI assigned

Mar 11, 2013

Sex

Female

Sole proprietor

No

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.

• Stone Family Practice PLLC

  • Family Medicine Physician
  • Mayfield, KY
  • NPI 1609217868

  KY

  Medicare reassignment Care Compare group
• Fast Pace Kentucky PLLC

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706

  Family, KY

  Medicare reassignment NPD
• Fast Pace Kentucky, PLLC

  • Rural Health Clinic/Center
  • Spindale, NC
  • NPI 1942027891
  NPD
• Dr Daniel a Howard PLLC

  • Surgery Physician
  • Mayfield, KY
  • NPI 1447140371
  NPD (past)

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

• Pinelake Regional Hospital LLC

  • Rural Acute Care Hospital
  • Mayfield, KY
  • NPI 1891892741

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stone Family Practice PLLC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson Purchase Medical Center Hospital, Mayfield, KY, CCN 180116

Merit-based Incentive Payment System (MIPS)

Final score

99.4 of 100Reported as group

Quality

98.8

Improvement activities

40

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174864516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S 7TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662337",
            "telephone_number": "270-251-3223",
            "fax_number": "270-251-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S 7TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662337",
            "telephone_number": "270-251-3223",
            "fax_number": "270-251-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLER",
        "first_name": "AMANDA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE",
            "identifier": "1122485",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "7100090880",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY--MEDICAID",
            "identifier": "253582",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LIC",
            "identifier": "3007992",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100242550",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00975",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla SLP
• Brian Keenan
• Emily Kaye Keenan, RN
• Kentucky CVS Pharmacy, L.L.C.
• Kentucky in-Home Partner-I, LLC
• Kindred Nursing Centers Limited Partnership
• Peter Kiongo, MHS,OTR
• Erin Elizabeth Kirby, BACHELOR OF SCIENCE
• Lynnell Kirkland, ATC
• Mary Susan Kyle, LCSW

• All providers in Mayfield, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.