Individual provider Active NPI

Kimberly Ann Hatcher, FNP-C

  • Family Nurse Practitioner
  • The Villages, FL
National Provider Identifier
1306601356
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01240082 Issued in FL
Practice address
1400 N US Highway 441 Ste 552
The Villages, FL 32159-8987
Phone
(352) 775-7430
Fax
(352) 775-7431
NPI assigned
Feb 19, 2024
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 F01240082 FL Primary

Addresses

Primary practice location

1400 N US Highway 441 Ste 552
The Villages, FL 32159-8987

Mailing address

1400 N US Highway 441 Ste 552
The Villages, FL 32159-8987
Phone (352) 775-7430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240729000596 FL Practitioner - Nurse Practitioner 9234675042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedics Institute, PAGroup PAC ID 4183907470, 5 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1400 N US Hwy 441
Suite 552
The Villages, FL 32159-8987
Phone (352) 751-2862

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F01240082FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Orthopedics Institute, P.a. CurrentSince May 17, 2024 Accepting new patients

Locations

1400 N US Highway 441
Ste 552
The Villages, FL 32159
Phone (352) 751-2862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCAIAD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1306601356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 552",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-775-7430",
            "fax_number": "352-775-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N US HIGHWAY 441 STE 552",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321598987",
            "telephone_number": "352-775-7430",
            "fax_number": "352-775-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F01240082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

Verify at the official NPI Registry.