Kimberly S Huggins, M.D.
Individual provider Active NPI Emergency Medicine Physician · Aurora, MO
NPI 1295935161 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1295935161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2023013143 (MO)
- Practice address
- 500 Porter Ave
Aurora, MO 65605-2365 - Phone
- (417) 678-7888
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Emergency Physicians LLC
Practice addresses (Care Compare)
1 Mercy Way
Bella Vista, AR 72714-3000
Phone (479) 802-5555
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
- Ozarks Community Hospital of Gravette
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090313000205 | AR | Practitioner - Family Practice |
5799841961 | Reassigns benefits to 5 organizations |
| I20230507000007 | MO | Practitioner - Family Practice |
5799841961 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-5107 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Sgoh Acquisition Inc | Current |
Accepting new patients | |
| Mercy Hospital Berryville | Current |
Accepting new patients | |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Mercy Hospital Aurora | Current |
Accepting new patients | |
| Mercy Hospital Cassville | Current |
Accepting new patients | |
| Sgoh Acquisition Inc | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Past | Accepting new patients |
Locations
1 Mercy Way
Bella Vista, AR 72714
Phone (479) 802-5555
214 Carter St
Berryville, AR 72616
Phone (870) 423-3355
1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | E-5107 | AR | |
| Emergency Medicine Physician | 207P00000X | 2023013143 | MO | Yes |
Addresses
Primary practice location
500 Porter Ave
Aurora, MO 65605-2365
Mailing address
500 Porter Ave
Aurora, MO 65605-2365
Phone (417) 678-7888
Other practice location 1
2907 E Joyce Blvd
Fayetteville, AR 72703-5011
Phone (479) 521-8260
Other practice location 2
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
Other providers in Aurora, MO
- Carissa Henbest
- Tiffany Hilton
- Amy Elizabeth Hodges
- Paula Hokanson
- Charla Faye Holst
- Christie J. Hurt
- Independent Imaging, LLC
- Deborah Leann Inman
- Susan Inman
- Richard Jenkins
All providers in Aurora, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.