NPIMap

Individual provider Active NPI

Kimberly Ann Carano, P.A.

  • Medical Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1215073796
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0994 Issued in TN
Practice address
2933 Medical Center Pkwy Ste a
Murfreesboro, TN 37129-2391
Phone
(615) 890-1455
Fax
(615) 890-1674
NPI assigned
Jan 30, 2007
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0994 TN Primary

Addresses

Primary practice location

2933 Medical Center Pkwy Ste a
Murfreesboro, TN 37129-2391

Mailing address

2705 Bering CT
Nolensville, TN 37135-9573
Phone (615) 776-5124

Other identifiers 1

IdentifierTypeStateIssuer
PA0994OtherTNPA LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KIMBERLY.CARANO@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070824000703 TN Practitioner - Physician Assistant 7517059249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Group - Stonecrest FP IncGroup PAC ID 7214832476, 7 clinicians

Practice addresses (Care Compare)

300 Stonecrest Blvd
Smyrna, TN 37167-5170
Phone (615) 223-9502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
71.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
994TNMDBehavioral Analyst
PA0994TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Specialists of Nashville Inc Past Accepting new patients
Centennial Pediatrics PC PastSince Oct 1, 2012 Accepting new patients
Southern Anesthesia Consultants LLC PastSince Oct 1, 2017 Accepting new patients
Radiology Alliance PC Past Accepting new patients

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1215073796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 BERING CT",
            "city": "NOLENSVILLE",
            "state": "TN",
            "postal_code": "371359573",
            "telephone_number": "615-776-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 MEDICAL CENTER PKWY STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292391",
            "telephone_number": "615-890-1455",
            "fax_number": "615-890-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARANO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "PA0994",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIMBERLY.CARANO@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2933 Medical Center Pkwy Ste A",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371292391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.