Individual provider Active NPI

Kimberly Calle, FNP-BC

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1225852189
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2378660 Issued in MA
Practice address
1019 Iyannough Rd
Hyannis, MA 02601-1839
Phone
(508) 771-8010
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2378660 MA Primary

Addresses

Primary practice location

1019 Iyannough Rd
Hyannis, MA 02601-1839

Mailing address

1019 Iyannough Rd
Hyannis, MA 02601-1839
Phone (774) 994-9752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250103002560 MA Practitioner - Nurse Practitioner 2062940091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Imperatives IncGroup PAC ID 9931328481, 8 clinicians

Practice addresses (Care Compare)

111 Torrey St
Brockton, MA 02301-4800
Phone (508) 559-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2378660MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imperatives Inc. CurrentSince Nov 14, 2024 Accepting new patients
Health Imperatives Inc. CurrentSince Nov 14, 2024 Accepting new patients
Health Imperatives Inc. Past Accepting new patients

Locations

942 W Chestnut St
#46
Brockton, MA 02301
Phone (508) 583-3005

942 W Chestnut St
Brockton, MA 02301
Phone (508) 583-3005

111 Torrey St
Brockton, MA 02301
Phone (508) 584-5190

1019 Route 132
Hyannis, MA 02601
Phone (508) 771-8010

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1225852189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011839",
            "telephone_number": "774-994-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 IYANNOUGH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011839",
            "telephone_number": "508-771-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLE",
        "first_name": "KIMBERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2378660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.